Oliver sign

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Oliver sign
Other names: Tracheal tug sign
Differential diagnosisAneurysm of the aortic arch.

Oliver sign is an abnormal downward movement of the trachea during systole that can indicate a dilation or aneurysm of the aortic arch. It is a variation of Cardarelli sign.[1]

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.[2] It is also seen in light anesthesia.

The sign was first described by English military surgeon William Silver Oliver in 1896.[1]

See also


  1. 1.0 1.1 Yale, Steven H.; Tekiner, Halil; Mazza, Joseph J.; Yale, Eileen S.; Yale, Ryan C. (2021). "1. Aneurysm". Cardiovascular Eponymic Signs: Diagnostic Skills Applied During the Physical Examination. Switzerland: Springer. pp. 12–13. ISBN 978-3-030-67595-0. Archived from the original on 2023-07-01. Retrieved 2023-05-28.
  2. Dennis, Mark; Bowen, William Talbot; Cho, Lucy (2016). Mechanisms of Clinical Signs. Elsevier Health Sciences. p. 153. ISBN 9780729585613. Archived from the original on 1 November 2022. Retrieved 7 March 2018.