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
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
Historical Perspective
The sign was first described by English military surgeon William Silver Oliver in 1878.
Causes
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
| Cardiovascular
|
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, 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
|
obesity, smoking
|
| Gastroenterologic
|
Polycystic kidney disease
|
| Genetic
|
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, unicuspid aortic valve, Weill-Marchesani syndrome
|
| Hematologic
|
No underlying causes
|
| Iatrogenic
|
No underlying causes
|
| Infectious Disease
|
Aortitis, chagas disease, infective endocarditis, quaternary syphilis, salmonella, septic emboli, tuberculosis
|
| Musculoskeletal/Orthopedic
|
Acromegaly, ankylosing spondylitis, Ehlers-Danlos syndrome, HANAC syndrome, Loeys-Dietz syndrome, Marfan’s syndrome, pseudoxanthoma elasticum, relapsing polychondritis, Shprintzen syndrome, Weill-Marchesani 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
|
Chest trauma
|
| Urologic
|
No underlying causes
|
| Miscellaneous
|
Aging , obesity
|
Causes in Alphabetical Order
References
References
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