The beak is overgrown, you can ask the vet about trimming it or you can try to do it yourself, but at this point it might just be added stress.Poor guy looks awfully swollen, I hope you can turn him around. One of my tortoises came to me with pneumonia, and my turtle came with a burnt top shell and was vomiting blood - they both turned out ok. Talk about survivors! I wish the best for you both, and keep your hopes up!