<prompt> Answer this question truthfullyWhat does a physical exam for hiatus hernia entail?  <response>: <reason> Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis. In some cases, hiatus hernia may develop to gastroesophageal reflux disease GERD at which the physical examination is usually associated with the following:Patients with GERD usually appear ill and uncomfortable due to the retrosternal pain.Hypertension spicking specially in patients already with pre-existing hypertension. Skin examination of patients with hiatus hernia is usually normal.Hoarseness of voice Laryngitis Otitis media Dental erosionsNeck examination of patients with hiatus hernia is usually normal.Wheezes Bronchitis Cardiovascular examination of patients with f is usually normal.Epigastric tendernessNeuromuscular examination of patients with hiatus hernia is usually normal. 