It 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. Case presentation: 21 yr old female resident of Nalgonda came to casualty with complaints of generalised weakness and easy fatigue since 10 days. Sob on exertion (grade 2 - on walking 100 meters ) since 3 days . Pt had history of fever at 10 years of age ,when they took her to local rmp ..but did not subside and later she developed generalised edema and sob (grade 3) and orthopnea . They visited kamineni hospital here back then and was treated for few days . Later she
