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. A 60 year old female came to OPD With CHIEF COMPLAINTS Of- Fever since 1 week Palpitations since 1 week Generalized weakness since 4 days Chest pain and tightness since 4 days HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic 1 week ago then she developed fever which is sudden in onset, high grade, associated with chills and rigor. It relieves temporarily on taking medication. Palpitations are present since 1 week which are regular and associate