Mr. Lew was transported to the emergency room (ER) by emergency transport. City police officers called an ambulance after finding Mr. Lew lying in an alley with apparent unconsciousness. The emergency medical team started an intravenous (IV), and upon arriving at the ER, Mr. Lew had regained consciousness but is now unconscious again. Physical data collected included the following:

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Physical appearance is unkempt and dirty.

Odor suggests consumption of alcohol is likely.

T 96, P 124, R 36, B/P 90/40

Very emaciated appearance

Legs and arms very dry and flaky

Mottled purplish areas to lower extremities

Edema 3+ in ankles and lower legs

Abdomen tight and distended

Facial color and nail beds pale

No response to painful or verbal stimuli

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After physician examination, Mr. Lew was admitted to the hospital with malnutrition, R/O pancreatitis, and cirrhosis of the liver due to ETOH abuse.

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?List data that will be assessed.


Eyes should be bright and shiny; assess gums for caries, lesions, missing teeth, edema, and presence of bleeding; face and skin dry, scaly, or smooth and firm; tongue for redness, bumpiness, and roughness; nails firm and pink; posture; wasted appearance; reflexes; vital signs; fat-fold measures; height and weight.

Nutritional Science

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