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Hiatus Hernia

 Syn. Hiatal Hernia , Oesophageal hiatal hernia , Stomach hernia

Signs & Symptoms

 Substernal region pain
Ref: Uptodate [ Hiatus hernia] Epocrates [ https://online.epocrates.com/diseases/73531/Hiatal-hernia/Diagnostic-Approach]
Postprandial fullness
Ref: Uptodate [ Hiatus hernia]
Epigastric pain
Ref: Uptodate [ Hiatus hernia]
Substernal region fullness
Ref: Uptodate [ Hiatus hernia]

Physical Examination

 Oropharyngitis
Note: due to reflux of gastric contents
Ref: Epocrates [ https://online.epocrates.com/diseases/73531/Hiatal-hernia/Diagnostic-Approach]
Auscultation reveal gastric sounds in chest
Ref: Epocrates [ https://online.epocrates.com/diseases/73531/Hiatal-hernia/Diagnostic-Approach]
Confusion #severe
Ref: Epocrates [ https://online.epocrates.com/diseases/73531/Hiatal-hernia/Diagnostic-Approach]

Lab / Serology

Imagin Study

 Radiographic finding revealing a retrocardiac air-fluid level within a intrathoracic stomach
Ref: Uptodate [ Hiatus hernia]
Radiographic finding revealing a retrocardiac air-fluid level within a paraesophageal hernia
Ref: Uptodate [ Hiatus hernia]

Complication

 Tachypnea
Ref: Epocrates [ https://online.epocrates.com/diseases/73531/Hiatal-hernia/Diagnostic-Approach]
Severe chest pain #severe
Ref: Epocrates [ https://online.epocrates.com/diseases/73531/Hiatal-hernia/Diagnostic-Approach]
Complication Gastric volvulus
Note: due to mechanical problem caused by hernia
Ref: Uptodate [ Hiatus hernia]

Risk Factors

 Obesity
Ref: Epocrates [ https://online.epocrates.com/diseases/73532/Hiatal-hernia/Risk-Factors]
Elder
Ref: Epocrates [ https://online.epocrates.com/diseases/73532/Hiatal-hernia/Risk-Factors]
Male
Ref: Epocrates [ http://127.0.0.1:8000/disprofile/diseaseriskfactor/new/118/]

Cause

Other