"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 patients 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 comment box is welcome" August 11, 2021 A 50 yr old female patient presented to opd with chief complains of facial puffiness, intermittent fever, low urine output and irregular menstrual cycle. History of present illness: -Patient was admitted in the hospital with above mentioned complaints on 3rd july 2021. -There she was diagnosed with ovarian cyst. She was recommended to undergo hysterectomy. -During the surgery, she was diagnosed with kidney disease. -Patient was admitted in another h