Large Hiatal Hernia Manifesting as Dextrocardia on Electrocardiogram

      A 55-year-old female presented with worsening shortness of breath, indigestion, and upper abdominal pain over the past few weeks. She had had symptoms of gastroesophageal reflux disease for many years that were well-controlled with esomeprazole. However, over the past month, her symptoms significantly worsened, and she began developing concomitant left upper quadrant and epigastric pain along with severe dyspnea on exertion to the point that she would have to stop several times when speaking long sentences to catch her breath.
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