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" SHAIK. Ishrath parveen, Roll no. 187 December 16, 2021 57 YEAR FEMALE WITH DECREASED URINE OUTPUT AND SHORTNESS OF BREATH 57 YEAR FEMALE WITH DECREASED URINE OUTPUT AND SHORTNESS OF BREATH 15/12/21 A 57 year old female patient presented to the OPD with chief complaints of decreased urine output since 3 days and shortness of breath grade II-III since one day And fever not associated with chills and rigors HISTORY OF PRESENT ILLNESS ✓57 year old female patient resident of siriko