The hand before is definitely worth mentioning but it's not like 4b/call with QQ in a button game really tells you much (or stats after 15 hands for that matter.) I wouldn't automatically assume he is tilting in a situation like this either. At most, you might allow for some small percentage chance that he is doing something stupid.

Totally agree with carroters about folding the flop. This is just a really bad spot to be in when you still have to play 2 streets OOP.

As played I would fold river expecting to see AK most of the time.