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. A 53 year old male patient, resident of Pochampally, agricultural worker (toddy tree climber) by occupation came to the OPD with chief complaints of: Chief Complaints: Difficulty in passing urine since 10 days Leg swelling since 5 days Breathlessness since 4 days History of Presenting Illness: Patient was apparently asymptomatic 10 days back, then he developed difficulty in passing urine, associated with pricking type of pain, non blood tinged, clear in appearance....