75 year old female patient presented with fever since 2 days and sob since 4 days This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is CHEIF COMPLAINTS. Patient came with cheif complaints of fever since 2 days , shortness of breath since 4 days ,burning micturation since 4 days HOPI patient was apparently asymptomatic 4 days back then she developed Shortness of breath since 4 days which was insidious in onset, gradually progressive( from grade 3 to 4) aggrevated on exposure to cold/early morning and relieved on medications Patient also complains burn