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Revision as of 17:13, 19 July 2013

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, 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

Life threatening causes

Aneurysms associated with aortic dissection

Common Causes

Causes by Organ System

Cardiovascular	Aneurysms associated with aortic dissection, 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

Template:Eponymous medical signs for circulatory and respiratory systems

Template:WikiDoc Sources

@@ Line 1: / Line 1: @@
-{{Infobox_Disease |
+__NOTOC__{{Infobox_Disease |
    Name           = {{PAGENAME}} |
    Image          = |
@@ Line 17: / Line 17: @@
 {{CMG}}; {{M.P}}
+{{SK}} Tracheal tug sign
 ==Overview==
@@ Line 31: / Line 31: @@
 ==Causes==
+===Life threatening causes===
+*[[aortic dissection|Aneurysms associated with aortic dissection]]
 ===Common Causes===
-*[[Aneurysms]]  Associated with [[Aortic Dissection]]
+*[[aortic dissection|Aneurysms associated with aortic dissection]]
 *[[Atherosclerosis ]]
 *[[Cystic medial  necrosis]]
 *[[Marfan's syndrome ]]
 *[[Trauma]]
@@ Line 44: / Line 46: @@
 {|style="width:82%; height:100px" border="1"
 |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]] 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" | [[aortic dissection|Aneurysms associated with aortic dissection]], [[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"
@@ Line 68: / Line 70: @@
 |-bgcolor="LightSteelBlue"
 | '''Endocrine'''
-|bgcolor="Beige"| [[Acromegaly]],  [[Diabetes ]],  [[Hyperlipidemia]]
+|bgcolor="Beige"| [[Acromegaly]], [[diabetes]], [[hyperlipidemia]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Environmental'''
-|bgcolor="Beige"| [[High BMI]],  [[Smoking]]
+|bgcolor="Beige"| [[obesity]], [[smoking]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 80: / Line 82: @@
 |-bgcolor="LightSteelBlue"
 | '''Genetic'''
-|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="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"
 | '''Hematologic'''
@@ Line 92: / Line 93: @@
 |-bgcolor="LightSteelBlue"
 | '''Infectious Disease'''
-|bgcolor="Beige"| [[Aortitis]] by contiguous spread from adjacent structrues,  [[Chagas disease]],  [[Infective endocarditis]],  [[Quaternary syphilis]],  [[Salmonella]],  [[Septic emboli]],  [[Tuberculosis ]]
+|bgcolor="Beige"| [[Aortitis]], [[chagas disease]], [[infective endocarditis]], [[quaternary syphilis]], [[salmonella]], [[septic emboli]], [[tuberculosis]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''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]], [[Ehlers-Danlos syndrome]], HANAC syndrome, [[Loeys-Dietz syndrome]], [[Marfan's syndrome]], [[pseudoxanthoma elasticum]], [[relapsing polychondritis]], [[Shprintzen syndrome]], [[Weill-Marchesani syndrome]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 136: / Line 137: @@
 |-bgcolor="LightSteelBlue"
 | '''Rheumatology/Immunology/Allergy'''
-|bgcolor="Beige"| [[Ankylosing spondylitis]],  [[Behçet disease]],  [[Giant cell arteritis]],  [[Kawasaki disease]],  [[Polyarteritis nodosa]],  [[Scleroderma]]
+|bgcolor="Beige"| [[Ankylosing spondylitis]], [[Behçet disease]], [[giant cell arteritis]], [[kawasaki disease]], [[polyarteritis nodosa]], [[scleroderma]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 144: / Line 145: @@
 |-bgcolor="LightSteelBlue"
 | '''Trauma'''
-|bgcolor="Beige"| [[Injury]]
+|bgcolor="Beige"| [[Chest trauma]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 152: / Line 153: @@
 |-bgcolor="LightSteelBlue"
 | '''Miscellaneous'''
-|bgcolor="Beige"| [[Aging ]],  High [[BMI]]
+|bgcolor="Beige"| [[Aging ]], [[obesity]]
 |-
 |}
@@ Line 163: / Line 164: @@
 *[[Aging ]]
-*[[Aneurysm]]s Associated with [[aortic dissection]]
+*[[aortic dissection|Aneurysms associated with aortic dissection]]
 *[[Ankylosing spondylitis]]
@@ Line 169: / Line 170: @@
 *[[Annuloaortic ectasia]]
-*[[Aortitis]] by contiguous  spread from adjacent structrues
+*[[Aortitis]]
 *[[Arterial tortuosity  syndrome]]
@@ Line 175: / Line 176: @@
 *[[Atherosclerosis ]]
-*[[Polycystic kidney disease]]
+*[[Beals syndrome]]
 *[[Behçet disease]]
 *[[Bicuspid aortic valve]]
+*[[Chagas disease]]
 *[[Cystic medial necrosis]]
 *[[Diabetes  ]]
-*Familial history of  [[aneurysm]] and [[dissections]]
 {{col-break|width=33%}}
-*[[Genetic factors]]
+*[[Ehlers-Danlos syndrome]]
 *[[Giant cell arteritis]]
-*High [[BMI]]
+*HANAC syndrome
 *[[Hyperlipidemia]]
@@ Line 199: / Line 200: @@
 *[[Infective endocarditis]]
-*[[Inflammation of aortic  arch]]
+*[[Kawasaki  disease]]
-*[[Kawasaki  disease]]
+*[[Loeys-Dietz syndrome]]
-*[[Loeys-Dietz syndromes]]
+*[[MASS phenotype]]
 *[[Marfan's syndrome ]]
+*[[Obesity]]
 *[[Polyarteritis nodosa]]
+*[[polycystic kidney disease]]
 *[[Quaternary  syphilis]]
+{{col-break|width=33%}}
 *[[Relapsing Polychondritis]]
-{{col-break|width=33%}}
 *[[Salmonella]]
@@ Line 218: / Line 225: @@
 *[[Septic emboli]]
+*[[Shprintzen syndrome]]
 *[[Smoking]]
-*[[Pseudoxanthoma Elasticum]]
+*[[Pseudoxanthoma elasticum]]
 *[[Takayasu's arteritis]]
-*[[Trauma]]
+*[[chest trauma|Trauma]]
 *[[Tuberculosis ]]
@@ Line 231: / Line 240: @@
 *[[Turner syndrome]]
-* Type IV [[Ehlers-Danlos  syndrome ]]
+*[[aortic stenosis|Unicuspid aortic valve]]
-*[[Unicuspid aortic valve]]
+*[[Weill-Marchesani syndrome]]
-*[[HANAC syndrome]]
-*[[Chagas disease]]
 {{col-end}}
 ==See also==
 * [[Aortic aneurysm]]
 * [[Cardarelli's sign]]
+==References==
+{{Reflist|2}}
 {{Eponymous medical signs for circulatory and respiratory systems}}
 [[Category:Cardiology]]