Oliver's sign: Difference between revisions
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==Overview== | ==Overview== | ||
Oliver's sign is an abnormal downward movement of the [[Vertebrate trachea|trachea]] during [[systole]] that can indicate a dilation or [[aneurysm]] of the [[aortic arch]]. Oliver's sign is elicited by gently grasping the [[cricoid cartilage]] and applying upward pressure while the patient stands with his or her chin extended upward. Due to the anatomic position of the aortic arch, which overrides the left main [[bronchus]], a downward tug of the [[Vertebrate trachea|trachea]] may be felt if an aneurysm is present. | |||
== | ==Historical Perspective== | ||
The sign was first described by English military [[surgeon]] William Silver Oliver in 1878. | The sign was first described by English military [[surgeon]] William Silver Oliver in 1878. | ||
==Causes== | ==Causes== | ||
===Life | ===Life Threatening Causes=== | ||
*[[ | Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | ||
*[[Aortic aneurysm]] | |||
*[[Aortic dissection]] | |||
===Common Causes=== | ===Common Causes=== | ||
*[[ | *[[Aortic aneurysm]] | ||
*[[Aortic dissection]] | |||
*[[Atherosclerosis ]] | *[[Atherosclerosis ]] | ||
*[[Cystic medial | *[[Cystic medial necrosis]] | ||
*[[Marfan's syndrome ]] | *[[Marfan's syndrome ]] | ||
*[[Trauma]] | *[[Trauma]] | ||
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{|style="width:82%; height:100px" border="1" | {|style="width:82%; height:100px" border="1" | ||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[ | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Aortic dissection]], [[aortic aneurysm]], [[annuloaortic ectasia]], [[aortitis]], [[arterial tortuosity syndrome]], [[atherosclerosis]], [[Beals syndrome]], [[bicuspid aortic valve]], [[cystic medial necrosis]], [[giant cell arteritis]], [[HANAC syndrome]], [[hypertension]], [[infective endocarditis]], [[kawasaki disease]], [[Loeys-Dietz syndrome]], [[MASS phenotype]], [[polyarteritis nodosa]], [[septic emboli]], [[aortic stenosis|unicuspid aortic valve]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| [[Beals syndrome]], [[cystic medial necrosis]], HANAC syndrome, [[Loeys-Dietz syndrome]], [[Marfan's syndrome]], [[MASS phenotype]], [[polycystic kidney disease]], [[pseudoxanthoma | |bgcolor="Beige"| [[Beals syndrome]], [[cystic medial necrosis]], [[HANAC syndrome]], [[Loeys-Dietz syndrome]], [[Marfan's syndrome]], [[MASS phenotype]], [[polycystic kidney disease]], [[pseudoxanthoma elasticum]], [[Turner syndrome]], [[Ehlers-Danlos syndrome ]], [[Shprintzen syndrome]], [[aortic stenosis|unicuspid aortic valve]], [[Weill-Marchesani syndrome]] | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal/Orthopedic''' | | '''Musculoskeletal/Orthopedic''' | ||
|bgcolor="Beige"| [[Acromegaly]], [[ankylosing spondylitis]], [[Ehlers-Danlos syndrome]], HANAC syndrome, [[Loeys-Dietz syndrome]], [[Marfan's syndrome]], [[pseudoxanthoma elasticum]], [[relapsing polychondritis]], [[Shprintzen syndrome]], [[Weill-Marchesani syndrome]] | |bgcolor="Beige"| [[Acromegaly]], [[ankylosing spondylitis]], [[Ehlers-Danlos syndrome]], [[HANAC syndrome]], [[Loeys-Dietz syndrome]], [[Marfan's syndrome]], [[pseudoxanthoma elasticum]], [[relapsing polychondritis]], [[Shprintzen syndrome]], [[Weill-Marchesani syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| [[Ankylosing spondylitis]], [[Behçet disease]], [[giant cell arteritis]], [[ | |bgcolor="Beige"| [[Ankylosing spondylitis]], [[Behçet disease]], [[giant cell arteritis]], [[Kawasaki disease]], [[polyarteritis nodosa]], [[scleroderma]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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*[[Aging ]] | *[[Aging ]] | ||
*[[ | *[[Aortic aneurysm]] | ||
*[[Aortic dissection]] | |||
*[[Ankylosing spondylitis]] | *[[Ankylosing spondylitis]] | ||
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*[[Giant cell arteritis]] | *[[Giant cell arteritis]] | ||
*HANAC syndrome | *[[HANAC syndrome]] | ||
*[[Hyperlipidemia]] | *[[Hyperlipidemia]] | ||
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{{col-break|width=33%}} | {{col-break|width=33%}} | ||
*[[Relapsing | *[[Relapsing polychondritis]] | ||
*[[Salmonella]] | *[[Salmonella]] | ||
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*[[Weill-Marchesani syndrome]] | *[[Weill-Marchesani syndrome]] | ||
{{col-end}} | {{col-end}} | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Crowdiagnosis]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Medical signs]] | |||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
[[Category:Physical examination]] | [[Category:Physical examination]] | ||
Latest revision as of 13:52, 11 June 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Mugilan Poongkunran M.B.B.S [2]
Synonyms and keywords: Tracheal tug sign
Overview
Oliver's sign is an abnormal downward movement of the trachea during systole that can indicate a dilation or aneurysm of the aortic arch. Oliver's sign is elicited by gently grasping the cricoid cartilage and applying upward pressure while the patient stands with his or her chin extended upward. Due to the anatomic position of the aortic arch, which overrides the left main bronchus, a downward tug of the trachea may be felt if an aneurysm is present.
Historical Perspective
The sign was first described by English military surgeon William Silver Oliver in 1878.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Causes by Organ System
Causes in Alphabetical Order
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