This is an online slog book to discuss our patient de identified health data shared after taking his/ her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evident based input This e log also reflects my patient cantered online learning portfolio and your valuable inputs in the comment box is welcome I have been given this case to solve in an attempt to understand the topic of “ patient clinical data analysis” to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan 14 March 2023 13 Y/F came to OPD with chief complaints of * Shortness of breath since yesterday * 4 episodes of vomitings (since 10 am , yesterday) HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic till the a