FCEM2-0568
A 65 year old male is brought to the emergency department after experiencing a sudden decline in health over the past 72 hours. The patient appears slightly confused and restless. Here are the observations:
Blood pressure: 178/94 mmHg
Pulse: 122 bpm
Respiration rate: 24 bpm
Temperature: 39.5ºC
An ECG is conducted, revealing rapid atrial fibrillation. During the examination, the patient exhibits crackling sounds in the lower parts of the lungs, pitting edema in both legs below the knee, and a mild yellowish tint in the sclera. The patient’s GP office is contacted to obtain further information about their medical history. The patient is prescribed carbimazole and bisoprolol, but they have not renewed their prescription on time. What is the most probable diagnosis?