A 58-year-old male with PMH of hypertension, is brought into…

A 58-year-old male with PMH of hypertension, is brought into the ED by his family for evaluation of headache, nausea, blurry vision, and confusion. Blood pressure is 235/130 mmHg.  A fundoscopic exam shows retinal hemorrhages, exudates, and papilledema.  These findings would suggest which of the following conditions?