"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 patients clinical problems with collective current based inputs. 21.03.2022 A 48 year old male who is Tailor by occupation came to OPD with SOB-3 days profuse sweating since three days generalised weakness since three days HISTORY OF PRESENT ILLNESS: patient was alparently assymptomatic three days back he developed SOB,profuse sweating generalized weakness , insidious in onset gradually progressive ,along with this pedal edema present,facial puffiness and upper limb edema and diagonsed with diabetic nephropathy with k/c/o DM type 2 and HTN ,and now pt. came for MHD B/L pedal edema extending upto knees , pitting type HISTORY OF PAST ILLNESS K/C/O-HTN On medication