This is an online e logbook to discuss our patients de-identified health data shared after taking his/her/their guardian's signed informed consent. Here we discuss our individual patient problems through a series of inputs from an available global online community of experts to solve those patients' clinical problems with collective current best evidence-based inputs. A 40 year-old man, who is a auto driver by occupation, presented to the hospital with - Generalised swelling & swelling of hands & legs since 1 week HISTORY OF PRESENT ILLNESS Patient came to the casuality with pedal edema since 1week which was insidious in onset, gradually progressed to upper abdomen & developed anasarca associated with Shortness of breathe(SOB) (GRADE-IV), Orthopnoea(discomfort when breathing while lying down) - present  No PND. Dry cough - Present  - H/O daily intake of alcohol since 13 yrs (daily 90- 180ml) present  No h/o trauma, no c/o giddiness, headache, chest pain, burning mi

This is an online e logbook to discuss our patients de-identified health data shared after taking his/her/their guardian's signed informed consent. Here we discuss our individual patient problems through a series of inputs from an available global online community of experts to solve those patients' clinical problems with collective current best evidence-based inputs. Date of admission- 23/09/2021 A 85 year-old man, who is a farm worker by occupation, presented to the hospital with - Weakness of left upperlimb and lowerlimb since 20 days -Difficulty in swallowing since 20days  -Deviation of mouth towards left side since 20 days HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 20 days back, he had sudden onset of weakness of left upper limb and lower limb which was noticed by his attender, when he tried waking up from bed he couldnt get up and complained of weakness and was went to a near by RMP and was sent to our hospital for further management.  No h/o trauma, n