GM e log July 08, 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 is welcome. IMMANI AASRITHA Roll no.49 5th semester July 10, 2022 GENERAL MEDICINE. CASE REPORT: A 49year old female patient resident of west bengal and farmer by occupation came to the OPD with chief complaints of pain in multiple joints and headache. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 10 years back. C/o pain in shoulder joint, ankle joint, mcp and mtp joints,pip joint, wrist, elbow and knee joints since 10 years. (More in the