Elaine is a 50-year-old Spanish-speaking female who

Elaine is a 50-year-old Spanish-speaking female who is bilingual and returns to the office for a follow-up blood pressure check. She is a schoolteacher and has been your patient for many years. She arrives 45 min late for her appointment. At her previous visit 4 weeks ago, her BP was 160/90 mm Hg on atenolol 50 mg QD (Tenormin, beta-blocker, max dose 100 mg QD), and you increased the atenolol to 75 mg QD at that time. Today she feels well, and her BP is 140/85 mm Hg on 2 measurements and her HR is 50 bpm. Labs: CBC (WNL), Creatinine 2.0 mg/dl, potassium 3.8 MEQ/L, and a 24 h urine protein of 1.3 g (normal <150 mg/d), similar to the one at the last visit. A physical exam reveals a blood pressure of 140/85 and a heart rate of 50. What is the topic diagnosis and what are the differential diagnoses?

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