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Cracking the Nursing Interview by Jim Keogh

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Hiatal hernia (diaphragmatic hernia)

Protrusion of a portion of the stomach through the diaphragm into the chest near the esophagus. Types of hiatal hernia are:

–Rolling Hiatal Hernia. The upper portion of the stomach but not the lower esophageal sphincter moves through the diaphragm; no GERD.

–Sliding Hiatal Hernia. The upper portion of the stomach and the lower esophageal sphincter moves through the diaphragm; GERD.

Classic Signs

–Rolling hernia

○Chest pain. Related to pressure in the chest cavity.

○Palpitations. Related to irritation of the vagus nerve.

○Fullness after eating. Related to pressure on the stomach.

○Difficulty breathing after eating. Related to pressure on the diaphragm.

–Sliding hernia

○Chest pain. Related to pressure in ...

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