This is online E-blog, to discuss our patient de-identified health data shared after taking 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 the patients clinical problem with current best evidence based input. T his E-blog also reflects my patient's centred online learning portfolio. I have been given this case to solve in an attempt to understand the topic of "Patient Clinical Data Analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. A 32 year old male patient came to the opd with chief complaints of decreased urine output ,bilateral pedal edema, and shortness of breath. HOPI: patient was apparently asymptomatic 1year back then he developed loss of consciousness for which he went to the local hospital, the