
This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients 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 the comment box is welcome. CASE PRESENTATION: 21 year old female from Darjeeling 2018 march at 19 years of age she got married and After 6 months : At 4 Months of amenorrhoea RTA ( abortion) 2019 june : NVD (baby girl) at 10 Months of amenorrhoea and all the trimesters were uneventfull. Her presenting complaints in 2020 November: Complaints of fascial puffiness( noticed by a neighbour) followed by abdominal distension after 2 days followed by pedal edema after 2 days associated with forthi...