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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. CASE PRESENTATION: A 23y old female patient presented to casualty with c/o loss of consciousness Pt was apparently asymptomatic 15 days back then she had headache and fever which was insidious in onset,high grade,intermittent type,not a/w chills and rigors ,no diurnal variation,releievd on medication. Fever was a/w neck stiffness H/o vomiting since 10 days .it was a/w food intake.(with food particles as contents ,non bilious,non projectile,non foul smelling)...