MEDICINE LOG -103 Pavan This is an online e-log platform to discuss case scenario of a patient with their guardians permission. 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, come up with a diagnosis and treatment plan. A 70yr old male came to medicine opd with chief complaints of -generalised body pains -decreased appetite -shortness of breath since 10 days HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 8yr back then he developed stomachache for which he got investigated and diagnosed of having cholelithiasis and found to have chronic kidney disease. for cholelithiasis surgery was done and ckd was managed conservatively. he was fine till january of 2023 when he started to have vomiting and fever episodes on and off and found to have progression of kidney disease and was advise