Paraesophageal Hernia on POCUS Abdominal pain Vomiting Tachycardia Tachypnea Large hernia with outlet obstruction. Admitted for surgical repair. Note left atrial compression; these can affect hemodynamics! https://ncbi.nlm.nih.gov/pmc/articl Also note thoracic aorta posterior to hernia - VCU Ultrasound @ultrasound_vcu #Paraesophageal #Hernia #POCUS #clinical #ultrasound