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 a series of inputs available global online community of experts with the aim to solve the patient’s clinical problems with the collective current best evidence based inputs. This E log reflects my patient centred online learning portfolio and your valuable inputs in the comments section. Chief complaint : Recurrent UTI since April 2022 Burning micturition accompanied by fever with chills and vomiting Left flank pain History of present illness : Patient was apparently asymptomatic 3days ago when she developed UTI along with radiating left flank pain accompanied by burning micturition with frothy urine. The patient has been experiencing recurrent vomiting accompanied by UTI on having solid food and liquid food. She was experiencing burning micturition with frothy urine and greenish ting