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 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 inputs on the comment box" 50 year old male, farmer by occupation, came to Medicine OPD with complaints of : * Distended abdomen since 7 days * Pain abdomen since 7 days * Pedal edema since 5 days * Breathlessness since 4 days. * Decreased micturition since 2 days. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 6 months ago when he developed jaundice and was treated at a private practitioner. Later he developed abdominal distension about 7 days ago - insidious in onset, gradu...