The fingernails are darkened. There are no femoral bruits noted. Deep tendon reflexes are intact. The patient is oriented in three spheres. Cranial nerves II-XII are intact.
Proprioception is intact.
Probable aspiration pneumonia, agent unknown at this time. Abrasion of left cornea, possible foreign body, perhaps ashes. Encourage to stop the use of tobacco and to lose weight. Bed rest with no visitors for a few days.