45 year old female patient complains of fever
October 11, 2021 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." Chief complaint: 49 year old female patient came to casuality with chief complaint of fever since 8 days ,sob since 5days ,cough since3 days and decreased urine output since 1 day History of present illness: Patient was apparently asymptomatic 8 days back then she developed fever suddenly , intermittent and low grade fever .patient complaints of sob since 8 days and cough with sputum since 3days. She had history of bipedal edema and facial puffiness . His