THE EE WAS CHECKING THE FLUID LEVEL OF AN HCL ""TOTE"" CONTAINER AS IT WAS NEAR EMPTY. AS HE PUSHED W/BOTH HANDS TO SHAKE THE CONTAINER HE FELT A STRAIN TO HIS UPPER ABDOMINAL AREA. AN EXAM ON 8 /19/02 REVEALED THAT AN EPAGASTRIC HERNIA HAD OCCURED & SURGICAL INTERVENTION WILL BE NECESSARY. THIS REPORT IS SUBMITTED BASED ON THIS DIAGNOSIS. EVENT IS AGGRAVATION OF PREVIOUS CONDITION.