CKD case of 60 year old male patient 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 box" 60 year old male, farmer by occupation, came to Medicine OPD with complaints of : Chief complaints Facial puffiness from 10 days, shortness of breath from 10 days and bilateral pedal deems from 10 days History of present illness Patient was apparently asymptomatic 6 months back, then he developed pain in lower back for which he took NSAIDS daily and was not having any complaints , but from last 10 days he developed facial puffiness ,sho