This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. CH.Snehitha Roll no.31 5th semester July 9, 2022 GENERAL MEDICINE. CASE REPORT: A 68 year old male patient farmer by occupation came to the OPD with chief complaints of itching all over the body since 45 days , cough and breathlessness since 10 days and knee pain. He also complaints of kidney problem. HISTORY OF PRESENT ILLNES : Patient was apparently asymptomatic 2 years back then he developed flank pain, burning micturition, decreased urine output and hematuria. On