76yr /f with RA, DM and HT. C /O palpitations after she had dinner. With chest discomfort. Her ecg was unremarkable. Diagnosis?

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Thanks Al of u. Chest X ray is showing hiatus hernia. Ct findings r consistent with gastric volvulus which was further confirmed on gastroscopy which showed twisted gastric mucosa. Surgical repair. ..resolved hr symptoms of palpitation later on.

Hiatus hernia

Hiatus hernia

Hiatus Hernia

D/D Diaphragmatic hernia Pericardial effusion

Diaphragmatic hernia.

Gerd if she is obese and overweight ok
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Widened carinal angle, shift of mediastinum to the left, huge round mass in the posterior mediastinum (? Hiatus hernia), narrowed left lower lobe bronchus. Dx ?.

Add x ray film
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Paraesophageal hiatus hernia

Pericardial effusion D/D hiatus hernia Advised 2 D Echo.

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