A 50-year-old male with poorly controlled hypertension presents with visual disturbances and a headache. On ophthalmic examination, there are signs of retinal hemorrhages and papilledema. What could be the likely diagnosis and management?
The patient's symptoms and findings suggest hypertensive retinopathy, potentially with malignant hypertension. His blood pressure needs immediate control, but carefully to avoid rapid drops. An ophthalmologist should be involved in his care, and other organ damage, such as kidney injury or heart failure, should also be assessed.