66 year old daily wage worker-
INTRODUCTION- This is online E logbook to discuss our patient’s de-identified health data shared after taking his 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 66-year-old male came to hospital with complaints of- Chief complaints - lower limb pitting edema, upper limb edema and fascial puffiness since 5 days History of present illness - apparently asymptomatic 5 days back, then developed lower limb pitting edema progressing to upper limb. No H/O fever, vomiting, loose stool, orthopnea, PND History of past illness - Apparently asymptomatic 8 years ago, in 2013 he came to our hospital with complaints of cellulitis and oliguria. Patient was admitted and treated with skin graft surgery. At time of admission, serum creatinine and blood urea were high along with hypertensi