A 28 YEAR OLD GENTLEMAN WITH FEVER,SOB,PEDAL EDEMA, ABDOMINAL DISTENSION AND DECREASED URINE OUTPUT. Hello everyone, I am a final year medical student. Recently I came across an interesting case in my clinical rotations. 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. Your valuable inputs on the comment box is welcome. 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. CHIEF COMPLAINTS: A 29 year old male unmarried who is a daily wage labourer resident of Nalgonda, came to hospital with chief complaints of on & off fever since 2 yrs , shortness of breath , b/l pedal edema , abdominal distension and decreased urine o