CASE HISTORY:
October 28, 2021 " 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 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 patients centered online learning portfolio and your valuable inputs on comment box is welcome ." A 45 yrs old male patient presented to the opd with chief complaints of swelling of legs, facial puffiness , burning micturition and fever. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 months back then developed 1. Swelling of legs 2. Facial puffiness 3. Burning micturition Patient was diagnosed as AKI on CKD and dialysis was initiated. Patient has undergone 5 sessions of dialysis Patient is a known case of hypertension and