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 patients 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 comment box is welcome A 50year old female patient who resides at presented to casualty with complaints of - Pain abdomen since 5 days - Regurgitation of food , pain during eating since 5 days HOPI : - Patient was apparently asymptomatic 15 years back then she had a episode of giddiness was taken to hospital and diagnosed with Hypertension and on regular medication MET-XL25 mg. - 1 month back patient developed facial puffiness,pedal edema was taken to nearby hospital and was told...