MOHAMMED KHAIRUL FARHAN Hall ticket No. 1701006114 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 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. This e-log book also reflects my patient centered online learning portfolio and your valuable suggestions in comment box are always welcome. 50 year old male by occupation resident of Miriyalguda brought to the casualty on 8/6/22 Chief complaints;- 1. Shortness of breath [Grade 4] since 1 year on/off 2. Headache to the occipital region since 20days which slowly progressed to Bilateral Parietal region along with neck pain 3. Throat pain Pricking type since 3 to 5 days History of Presenting Illness:- The patient was apparently asymptomatic 1year back th