Soumyadeep Biswas Roll no. 127 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. CASE : A 45 yr old male presented with fever , burning micturition , pedal edema CHIEF COMPLAINTS: fever Burning micturition Facial puffiness Pedal edema progresses to anasarca 5 sessions of Hemodialysis were done HISTORY OF PRESENTING ILLNESS: The patient has been readmitted to our hospital first dialysis was done on 5/09/21 No h/o pedal edema , oliguria and SOB (from past 7 days) HISTORY OF PAST ILLNESS: He is a known case of Diabetes mellitus (DM2) on medication ie. Actrapid Hypertension , on medication tab NICARDIA 20mg x PO x BD tab METXL 25mg x PO x BD Hypoth