Medicine Case Discussion 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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome. Name:K.Tejarshini Roll No:61 9th semester 12/01/2022. 29 YEARS OLD FEMALE WITH C/O BILATERAL JOINT PAINS INVOLVING BOTH UPPER AND LOWER LIMBS , GENERALIZED WEAKNESS and ITCHY SKIN LESIONS SINCE 10 MONTHS. A 29 Year old female came to the opd with, Cheif complaints of: * Bilateral joint pains in u pper and lower limbs(knees, hip, ankle, shoulder, elbow, wrist, including small joints of foot ) since 10 months. She is also complaining of pain in both arms since 10months General