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 clinical problems with collective current best evidence based inputs 30 yr old male patient came with c/o -fever since 8 days, vomitings since 2 days, decreased urine output and body pains since one day. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic since 8 days later he developed fever which was high grade, intermittent. H/o vomitings non projectile ,4-5 episodes on each day. H/o body pains and decreased urine output since one day. PAST HISTORY He was deaf and dumb since childhood. He had history of dialysis 10 yrs back(4 times) He had tuberculosis one yr back and was on ATT for 6 months. PERSONAL HISTORY: Diet- Mixed Appetite - reduced Bowel...