With UG learning is coming to be almost there to graduate the new case presented to OPD with complaints of fever M Bhuvana phanindra, 9th semister, Roll no.74. This is 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 centred online learning portfolio and your valuable inputs on comment box is welcome As a part of "patient clinical data analysis" I was given this case to improve my clinical competence in reading and comprehending along with history taking , clinical findings, and investigations , investigations to come up with a diagnosis . This is the reflection of my case study: 65 year old female resident of Nalgonda came