Hello everyone ..Im first yr resident of internal medicine back with one more intresting case . Thrusday was my opd and night duty , so around 5 pm ,I got a call from casualty . A 48 yr old female patient was brought to emergency with complaints of Loose stools ,vommitings ,fever since 4 days . Patient is a home maker by occupation and resident of Nalgonda was apparently alright 4 days ago..doing her routine activites of cooking ,washing clothes , although she had mild history of pain abdomen and uneasiness since 10 days..which patient ignored . So pt was bought to casualty with complaints of - Vomitings -6 to 8 episodes / day ,non bilious ,no history of blood in vomitus ,immediately after ingestion of food . -Loose stools - 8-10 episodes / day , watery ,non mucoid ,non bloody and no history of black stools , associated with pain abdomen. No history of outside food ingestion and no history of meat consumption prior to loose stools. -Fever high grade ,intermittent ,not as