FCEM2-0597
A 62 year old man is brought into the emergency department by his daughter. The patient had been dozing on the beach chair for a few hours during the scorching weather but then became increasingly disoriented and started vomiting. The patient takes furosemide for swollen ankles. The patients observations are shown below:
Blood pressure 118/68 mmHg
Pulse 108 bpm
Respiratory rate 24 bpm
Temperature 41.4ºC
Oxygen sats 96% on air
The patient’s skin is hot and dry to the touch. What is the most likely diagnosis?