Case of 60 yr old Female with ? CHRONIC RENAL FAILURE due to ?protein powder consumption ?gouty arthritis ? Diabetic nephropathy causing ?CRF
 30th March ,2022  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" A 60 year old tubectomized (22yrs -ago) female homemaker , from miryalaguda came to us yesterday morning with the  C/O  Unable to walk since 4 days  Unable to work since 4 days  Swelling of hands and feet since 5 days  Swelling of the face since 5 days  Joint pains since 15 days ( increased pain since a week )  Slurred speech since 3 days  Shortness of breath since 5 days (grade 4 )  Patient was apparently asymptomatic a week ...