Q. A 25-year-old male arrives in the emergency department after his blood pressure was found to be 180/120 mm Hg at the resort clinic. The patient is vacationing with family and reports that he started to feel a crushing and painful sensation in his chest during dinner. The patient’s medical history is unremarkable and he is not taking any medications. He has a history of illicit drug use including cocaine and marijuana. The patient does not use tobacco or alcohol. He was taken to the resort clinic after dinner and his blood pressure was 155/95 mm Hg. An ECG onsite showed elevations in leads V1-V4. The clinic nurse gave the patient propranolol and asked him remain for observation until a physician arrived. Half an hour later, the patient begins to experience confusion, blurred vision, and begins to seize. The patient’s blood pressure is taken and is now 190/120 mm Hg. What is the diagnosis?