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Thorofare, NJ
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🩺 Selling a medical practice is a process, not a single transaction.
In the latest Residency to Retirement column, a healthcare attorney explains why doctors should start planning years before their target exit and how to achieve the best outcomes.
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Angina pain is gradual onset and gradual offset. If sudden, severe substernal chest pain occurs, then aortic dissection should be suspected (especially if the pain radiates to the mid-upper thoracic region).
✅ The answer to our quiz question is A: Sudden onset substernal chest pressure radiating to the left arm...
C. “Tightness,” “discomfort, not pain,” “squeezing,” “indigestion,” “heaviness,” or an “elephant sitting on my chest”
D. Chest pain worse with emotional upset
E. All of the above are typical descriptions of angina
🔎Which is NOT a typical description of angina?
A. Sudden onset substernal chest pressure radiating to the left arm
B. Chest pain linked with shortness of breath and diaphoresis...
🔎Which of the following is a functional cause of mitral regurgitation?
A. Mitral valve endocarditis
B. Dilated cardiomyopathy
C. Mitral valve prolapse
D. Rheumatic mitral valve disease
✅The correct answer to our quiz question is D: All of the above!
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🔎Which of the following does this ECG represent?
A. Atrial fibrillation with rapid ventricular response
B. Low voltage
C. Electrical alternans
D. All of the above
💲Year-end tax projections can help doctors identify ways to reduce their 2026 tax bill while planning ahead for 2027.
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With dilation of the ascending aorta, the aortic valve annulus may also enlarge, causing loss of valve leaflet coaptation and resulting in aortic regurgitation.
✅The answer is C: Ascending aortic aneurysm!
Marfan syndrome is associated with mitral valve prolapse and aortic aneurysms. The dilated ascending aorta predisposes patients with Marfan syndrome to acute aortic dissection, which can be fatal...
Which of the following is associated with his condition?
A. Aortic valve stenosis
B. Coarctation of the aorta
C. Ascending aortic aneurysm
D. Ventricular septal defect
E. Ebstein’s anomaly
Can you solve this quiz question?
🔎29-yo man with ectopia lentis presents for a routine physical exam.
He has a pectus excavatum, pes planus, a high arched palate and a positive wrist and thumb sign...
💰Tax planning isn’t just about lowering this year’s tax bill. It can affect how much wealth doctors build over their career.
A new white paper quantifies the potential value of coordinated tax planning. Learn more in this Residency to Retirement column: vist.ly/5kb4j
Also, if a person is actively having myocardial ischemia, adequate ATP can't be synthesized to allow for the release of myosin from actin, thus the myocardium is not able to relax, and a S4 will be present.
Diastolic heart failure frequently results from severe left ventricular hypertrophy (LVH) resulting in impaired relaxation (compliance) of the LV.
In this setting, a S4 is often heard...
✅The answer to this week's quiz question is A: presence of an S4 heart sound!
S4 heart sound can be an important sign of diastolic heart failure or active ischemia and is rarely a normal finding...
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