Oliver's sign
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Mugilan Poongkunran M.B.B.S [2]
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
- Aneurysms Associated with Aortic Dissection
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
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See also
Template:Eponymous medical signs for circulatory and respiratory systems