Oliver's sign

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.

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.

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

Heart murmur	Systolic heart murmur: benign paediatric heart murmur (Still's murmur) Diastolic heart murmur: pulmonic regurgitation (Graham Steell murmur) aortic insufficiency (Austin Flint murmur) carey coombs murmur mitral regurgitation (Presystolic murmur)

Aortic insufficiency	Watson's water hammer pulse/Corrigan pulse De Musset's sign Duroziez's sign Müller's sign Quincke's sign Austin Flint murmur Mayne's sign

Other endocardium	endocarditis: Roth's spot Janeway lesion/Osler's node Bracht-Wachter bodies

Pericardium	cardiac tamponade/pericardial effusion: Beck's triad Ewart's sign

Other	rheumatic fever: Anitschkow cell Aschoff body EKG (Osborn wave) angina pectoris (Levine's sign) Gallavardin phenomenon

Vascular disease

Arterial	aortic aneurysm (Cardarelli's sign, Oliver's sign) pulmonary embolism (McConnell's sign) radial artery sufficiency (Allen's test) pseudohypertension (Osler's sign) thrombus (Lines of Zahn) Adson's sign arteriovenous fistula (Nicoladoni sign)

Venous	Friedreich's sign Caput medusae Kussmaul's sign DVT Bancroft's sign Homans sign Lisker's sign Louvel's sign Lowenberg's sign Peabody's sign Pratt's sign Rose's sign Trendelenburg test superior vena cava syndrome (Pemberton's sign)

Index of the heart

Description	Anatomy Physiology Development

Disease	Injury Congenital Neoplasms and cancer Other Symptoms and signs eponymous Blood tests

Treatment	Procedures Drugs glycosides other stimulants antiarrhythmics vasodilators

Index of the circulatory system

Description	Anatomy Arteries head and neck arms chest abdomen legs Veins head and neck arms chest abdomen and pelvis legs Development Cells Physiology proteins

Disease	Congenital Neoplasms and cancer Lymphatic vessels Injury Vasculitis Other Symptoms and signs eponymous

Treatment	Procedures Drugs beta blockers channel blockers diuretics nonsympatholytic vasodilatory antihypertensives peripheral vasodilators renin–angiotensin system sympatholytic antihypertensives vasoprotectives

Oliver's sign

See also