Hello everyone, iam Laasya , intern, posted in medicine department. We have got oppurtunity to see interesting cases in medicine department and here is the case admitted under our unit. "This is an online E log book to post and discuss our patient's de-identified health data posted after taking informed consent where we discuss patient-centered clinical problems through series of discussions among the community of experts without letting the patient move to distant places to different doctors with an aim to solve their clinical problems with the collective best evidence input from them. This online platform also reflects my patient-centered learning portfolio. A 56 year old male came to the opd with chief complaints of pain in the right upper quadrant since 2months Decreased appetite since 2months Difficulty in passing stools since 2months Cough since 5days History of present illness: He was apparently