This is an online E log to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based inputs. This E log book also reflects my patients-centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE; E.Likhitha 8th sem Roll no.43 A 70 year old female,resident of Erupu village of suryapet district,home maker by occupation came to the hospital with, C/O, Loin pain on Right side since 3 years. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 3 years back and then she developed loin pain on right side,pricking type ,which is insidious in onset and gradually progressive . Then she developed fever from 2 years associated with...