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==Causes==
==Causes==
===Common Causes===
===Common Causes===
*List the most common causes here.
*[[Aneurysms]]  Associated with [[Aortic Dissection]]
 
*[[Atherosclerosis ]]
*[[Cystic medial  necrosis]]
 
*[[Marfan's syndrome ]]
*[[Trauma]]
 
 
===Causes by Organ System===
===Causes by Organ System===
{|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" | [[Aneurysms Associated with Aortic Dissection]],  [[Annuloaortic ectasia]],  [[Aortitis by contiguous spread from adjacent structrues]],  [[Arterial tortuosity syndrome]],  [[Atherosclerosis ]],  [[Bicuspid aortic valve]],  [[Cystic medial necrosis]],  [[Familial history of aneurysm's and dissections]],  [[Giant cell arteritis]],  [[HANAC syndrome]],  [[Hypertension]],  [[Infective endocarditis]],  [[Inflammation of aortic arch]],  [[Kawasaki disease]],  [[Polyarteritis nodosa]],  [[Septic emboli]],  [[Unicuspid aortic valve]]
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Aneurysms]] Associated with [[Aortic Dissection]],  [[Annuloaortic ectasia]],  [[Aortitis]] by contiguous spread from adjacent structrues,  [[Arterial tortuosity syndrome]],  [[Atherosclerosis ]],  [[Bicuspid aortic valve]],  [[Cystic medial necrosis]],  Familial history of [[aneurysm]] and [[dissections]],  [[Giant cell arteritis]],  [[HANAC syndrome]],  [[Hypertension]],  [[Infective endocarditis]],  [[Inflammation of aortic arch]],  [[Kawasaki disease]],  [[Polyarteritis nodosa]],  [[Septic emboli]],  [[Unicuspid aortic valve]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 68: Line 76:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Autosomal dominant polycystic kidney disease]]
|bgcolor="Beige"| [[Polycystic kidney disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"| [[Autosomal dominant polycystic kidney disease]],  [[Cystic medial necrosis]],  [[Familial history of aneurysm's and dissections]],  [[Genetic factors]],  [[HANAC syndrome]],  [[Loeys-Dietz syndromes]],  [[Marfan's syndrome ]],  [[Pseudoxanthoma Elasticum]],  [[Turner’s Syndrome]],  [[Type IV Ehlers-Danlos syndrome ]],  [[Unicuspid aortic valve]]
|bgcolor="Beige"| [[Polycystic kidney disease]],  [[Cystic medial necrosis]],  Familial history of [[aneurysm]] and [[dissections]],  [[Genetic factors]],  [[HANAC syndrome]],  [[Loeys-Dietz syndromes]],  [[Marfan's syndrome ]],  [[Pseudoxanthoma Elasticum]],  [[Turner’s Syndrome]],  Type IV [[Ehlers-Danlos syndrome ]],  [[Unicuspid aortic valve]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[Aortitis by contiguous spread from adjacent structrues]],  [[Chaga's disease]],  [[Infective endocarditis]],  [[Quaternary syphilis]],  [[Salmonella]],  [[Septic emboli]],  [[Tuberculosis ]]
|bgcolor="Beige"| [[Aortitis]] by contiguous spread from adjacent structrues,  [[Chagas disease]],  [[Infective endocarditis]],  [[Quaternary syphilis]],  [[Salmonella]],  [[Septic emboli]],  [[Tuberculosis ]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[Acromegaly]],  [[Ankylosing spondylitis]],  [[Loeys-Dietz syndromes]],  [[Marfan's syndrome ]],  [[Pseudoxanthoma Elasticum]],  [[Relapsing Polychondritis]],  [[Type IV Ehlers-Danlos syndrome ]]
|bgcolor="Beige"| [[Acromegaly]],  [[Ankylosing spondylitis]],  [[Loeys-Dietz syndromes]],  [[Marfan's syndrome ]],  [[Pseudoxanthoma Elasticum]],  [[Relapsing Polychondritis]],  Type IV [[Ehlers-Danlos syndrome ]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| [[Aging ]],  [[High BMI]]
|bgcolor="Beige"| [[Aging ]],  High [[BMI]]
|-
|-
|}
|}
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*[[Cystic medial necrosis]]
*[[Cystic medial necrosis]]
*[[Diabetes  ]]
*Familial history of  [[aneurysm]] and [[dissections]]
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Disease]] P
*[[Genetic factors]]
*[[Disease]] Q
 
*[[Disease]] R
*[[Giant cell arteritis]]
*[[Disease]] ...
 
*High [[BMI]]
 
*[[Hyperlipidemia]]
 
*[[Hypertension]]
 
*[[Infective endocarditis]]
 
*[[Inflammation of aortic  arch]]
 
*[[Kawasaki  disease]]
 
*[[Loeys-Dietz syndromes]]
 
*[[Marfan's syndrome ]]
 
*[[Polyarteritis nodosa]]
 
*[[Quaternary  syphilis]]
 
*[[Relapsing Polychondritis]]
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Disease]] X
*[[Salmonella]]
*[[Disease]] Y
 
*[[Disease]] Z
*[[Scleroderma]]
 
*[[Septic emboli]]
 
*[[Smoking]]
 
*[[Pseudoxanthoma Elasticum]]
 
*[[Takayasu's arteritis]]
 
*[[Trauma]]
 
*[[Tuberculosis ]]
 
*[[Turner syndrome]]
 
* Type IV [[Ehlers-Danlos  syndrome ]]
 
*[[Unicuspid aortic valve]]
 
*[[HANAC syndrome]]
 
*[[Chagas disease]]
{{col-end}}
{{col-end}}


Revision as of 16:15, 11 July 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Overview

Oliver's sign, or the tracheal tug sign, is an abnormal downward movement of the trachea during systole that can indicate a dilation or aneurysm of the aortic arch.

Physical examination technique

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.

Etymology

The sign was first described by English military surgeon William Silver Oliver in 1878.

Causes

Common Causes


Causes by Organ System

Cardiovascular Aneurysms Associated with Aortic Dissection, Annuloaortic ectasia, Aortitis by contiguous spread from adjacent structrues, Arterial tortuosity syndrome, Atherosclerosis , Bicuspid aortic valve, Cystic medial necrosis, Familial history of aneurysm and dissections, Giant cell arteritis, HANAC syndrome, Hypertension, Infective endocarditis, Inflammation of aortic arch, Kawasaki disease, Polyarteritis nodosa, Septic emboli, Unicuspid aortic valve
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine Acromegaly, Diabetes , Hyperlipidemia
Environmental High BMI, Smoking
Gastroenterologic Polycystic kidney disease
Genetic Polycystic kidney disease, Cystic medial necrosis, Familial history of aneurysm and dissections, Genetic factors, HANAC syndrome, Loeys-Dietz syndromes, Marfan's syndrome , Pseudoxanthoma Elasticum, Turner’s Syndrome, Type IV Ehlers-Danlos syndrome , Unicuspid aortic valve
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease Aortitis by contiguous spread from adjacent structrues, Chagas disease, Infective endocarditis, Quaternary syphilis, Salmonella, Septic emboli, Tuberculosis
Musculoskeletal/Orthopedic Acromegaly, Ankylosing spondylitis, Loeys-Dietz syndromes, Marfan's syndrome , Pseudoxanthoma Elasticum, Relapsing Polychondritis, Type IV Ehlers-Danlos syndrome
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte No underlying causes
Rheumatology/Immunology/Allergy Ankylosing spondylitis, Behçet disease, Giant cell arteritis, Kawasaki disease, Polyarteritis nodosa, Scleroderma
Sexual No underlying causes
Trauma Injury
Urologic No underlying causes
Miscellaneous Aging , High BMI

Causes in Alphabetical Order


See also

Template:Eponymous medical signs for circulatory and respiratory systems


Template:WikiDoc Sources

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