Case study 10-a: john is a 52-year-old factory worker. he has been admitted to the hospital and presents with muscle weakness and inflammation of his mouth. he is a bit confused and states that he isn't drinking now although he has a history of alcohol abuse. he has lost quite a bit of weight in the last six months, and his dietary intake has been poor. he was laid off a year ago but he is back to work part-time. further testing has been ordered to determine the cause for concern and confirm the diagnosis.