Hoover's Sign Causes & Reasons

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Hoover's Sign Symptom Checker: Possible causes include Chronic Obstructive Pulmonary Disease. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.

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Possible Causes

Chronic Obstructive Pulmonary Disease

Signs of advanced disease include pursed-lip breathing, accessory respiratory muscle use, paradoxical inward movement of the lower rib cage during inspiration (Hoover sign [merckmanuals.com]

Use of accessory respiratory muscles and paradoxical indrawing of lower intercostal spaces is evident (known as the Hoover sign). [emedicine.medscape.com]

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Respiratory Muscle Paralysis

A 34-year-old lady presented with generalised weakness of body, indistinguishable from myasthenia gravis within 24 hours of a wasp sting. Respiratory muscle paralysis leading to respiratory failure developed and mechanical ventilatory support was required. The patient made an uneventful recovery. [ncbi.nlm.nih.gov]

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Acute Bronchitis

Signs of advanced disease include pursed-lip breathing, accessory respiratory muscle use, paradoxical inward movement of the lower rib cage during inspiration (Hoover sign [msdmanuals.com]

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Bronchitis

Signs of advanced disease include pursed-lip breathing, accessory respiratory muscle use, paradoxical inward movement of the lower rib cage during inspiration (Hoover sign [msdmanuals.com]

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Pulmonary Emphysema

sign) Cyanosis Elevated jugular venous pulse (JVP) Peripheral edema Thoracic examination reveals the following: Hyperinflation (barrel chest) Wheezing – Frequently heard [emedicine.com]

[…] include the following: Tachypnea and respiratory distress with simple activities Use of accessory respiratory muscles and paradoxical indrawing of lower intercostal spaces (Hoover [emedicine.com]

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Otitis Media

Shaikh N, Hoberman A, Kaleida PH, Rockette HE, Kurs-Lasky M, Hoover H, Pichichero ME, Roddey OF, Harrison C, Hadley JA, Schwartz RH. Otoscopic signs of otitis media. [ncbi.nlm.nih.gov]

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Conversion Disorder

Upon examination, the patient displayed obvious left-sided Hoover sign as well as a hip abductor sign (ie, weakness of hip abduction in the affected limb, which returned to [empr.com]

sign). [merckmanuals.com]

"Important observations prior to the description of the Hoover sign". Neurology. 63 (9): 1693–7. 14.0 14.1 Feinstein A. [physio-pedia.com]

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Hysterical Neurosis

Hoover’s sign and other tests of “complemental opposition” Hoover’s sign, described in 1908, is the most useful test for functional weakness and the only one that has been [doi.org]

Show the patient their positive signs —For example, a patient (and their family) can be shown their own Hoover’s sign or talked through a video of their non-epileptic attack [doi.org]

"Important observations prior to the description of the Hoover sign". Neurology. 63 (9): 1693–7. 14.0 14.1 Feinstein A. [physio-pedia.com]

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Chronic Bronchitis

Signs of advanced disease include pursed-lip breathing, accessory respiratory muscle use, paradoxical inward movement of the lower rib cage during inspiration (Hoover sign [msdmanuals.com]

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Acute Respiratory Distress Syndrome

[…] more findings: altered state of consciousness (from agitation to lethargy), increased work of breathing [nasal flaring, use of accessory muscles, intercostal retraction, Hoover [xlung.net]

sign, suprasternal and supraclavicular retractions, tachypnea (RR 30 bpm), paradoxical breathing], central cyanosis (including lips and tongue), sweating, tachycardia, hypertension [xlung.net]

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Paraparesis

Chapter 23 presents a case of functional paraparesis, and discusses signs of functional weakness, including Hoover’s sign, give-way weakness, inconsistency of findings, and [oxfordmedicine.com]

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Extrapulmonary Alveolar Hypoventilation

[…] more findings: altered state of consciousness (from agitation to lethargy), increased work of breathing [nasal flaring, use of accessory muscles, intercostal retraction, Hoover [xlung.net]

sign, suprasternal and supraclavicular retractions, tachypnea (RR 30 bpm), paradoxical breathing], central cyanosis (including lips and tongue), sweating, tachycardia, hypertension [xlung.net]

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Basilar Skull Fracture

[…] dorsalis Gowers' sign Hoover's sign Lasègue's sign Trendelenburg's sign Torso Beevor's sign General Todd's paresis Jolly's test v t e General wounds and injuries (T08-T35 [en.wikipedia.org]

Westphal's sign Upper limb Hoffmann's sign Other torso/limbs Upper limb Froment's sign carpal tunnel syndrome Tinel sign Phalen maneuver Lower limb Abadie's sign of tabes [en.wikipedia.org]

Cushing's triad Miller Fisher test PNS Reflexes of extremities/ corticospinal tract Combination Jendrassik maneuver Lower limb Babinski sign Chaddock reflex Oppenheim's sign [en.wikipedia.org]

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X-linked Parkinsonism-Spasticity Syndrome

Finally, there may be other clinical features of functional neurological disorders, such as “give-way” weakness, a positive Hoover’s sign, or non-anatomical sensory loss [ncbi.nlm.nih.gov]

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Psychosomatic Disorder

A diagnostic sign in states of apparent unconsciousness. Lancet. 1978; 2(8096) 920-921 7 Hoover C F. [doi.org]

A new sign for the detection of malingering and functional paresis of the lower extremities. JAMA. 1908; 51 746-747 8 Stone J, Zeman A, Sharpe M. [doi.org]

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Bronchiolitis

sign) bluish skin The term usually refers to acute viral bronchiolitis, a common disease in infancy. [en.wikipedia.org]

sign ) bluish skin Causes Edit Acute inflammatory exudate occluding the lumen of the bronchiole and acute inflammation of part of the wall of the bronchiole The term usually [en.m.wikipedia.org]

[…] preceding 24 hours) significantly decreased activity history of stopping breathing respiratory rate 70/min presence of nasal flaring and/or grunting severe chest wall recession (Hoover's [en.wikipedia.org]

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Ovarian Cystadenoma

Shaikh N, Hoberman A, Kaleida PH, Rockette HE, Kurs-Lasky M, Hoover H, Pichichero ME, Roddey OF, Harrison C, Hadley JA, Schwartz RH. Otoscopic signs of otitis media. [ncbi.nlm.nih.gov]

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Respiratory Bronchiolitis Interstitial Lung Disease

sign フーバー徴候 hospital acquired (nosocomial) infection院内感染 humidification加湿 humidifier加湿器 husky voice嗄（さ）声 hydrostatic pressure静水圧 hyperbaric高圧の hyperpnea過呼吸 hypersensitivity [tokyo-med.ac.jp]

[…] gas (gaseous) exchangeガス交換 h hair line毛髪線〈胸部 X線上の葉間線〉 hemoptysis喀血 hemorrhagic出血性 hemosputum血痰 hemothorax血胸 hilar肺門の hoarse voice嗄（さ）声 hoarseness嗄（さ）声 honeycomb lung蜂巣肺 Hoover's [tokyo-med.ac.jp]

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Hypercapnia

[…] more findings: altered state of consciousness (from agitation to lethargy), increased work of breathing [nasal flaring, use of accessory muscles, intercostal retraction, Hoover [xlung.net]

sign, suprasternal and supraclavicular retractions, tachypnea (RR 30 bpm), paradoxical breathing], central cyanosis (including lips and tongue), sweating, tachycardia, hypertension [xlung.net]

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Acute Respiratory Failure

[…] more findings: altered state of consciousness (from agitation to lethargy), increased work of breathing [nasal flaring, use of accessory muscles, intercostal retraction, Hoover [xlung.net]

sign, suprasternal and supraclavicular retractions, tachypnea (RR 30 bpm), paradoxical breathing], central cyanosis (including lips and tongue), sweating, tachycardia, hypertension [xlung.net]

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Spasmodic Croup

sign. [en.wikipedia.org]

As croup worsens, stridor may decrease considerably.Other symptoms include fever, coryza (symptoms typical of the common cold), and indrawing of the chest wall–known as Hoover's [en.wikipedia.org]

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Bacterial Otitis Media

Shaikh N, Hoberman A, Kaleida PH, Rockette HE, Kurs-Lasky M, Hoover H, et al. Otoscopic signs of otitis media. Pediatr Infect Dis J. 2011 Oct. 30(10):822-6. [Medline]. [medscape.com]

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Psychogenic Movement Disorders

Another possibility is showing the patient with functional motor symptoms their physical signs (e.g., Hoover sign); if done in the right way, this could be one of the most [frontiersin.org]

Positive features of functional weakness on examination include Hoover’s sign, when there is weakness of hip extension which normalises with contralateral hip flexion, and [en.wikipedia.org]

View/Print Table TABLE 4 Clinical Clues to Pseudoneurologic Syndromes Syndrome Clues Pseudoparalysis Drop test Hoover test Adductor sign Pseudosensory syndromes Tuning fork [aafp.org]

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Acute Subglottic Laryngitis

sign. [1] [11] Drooling or a very sick appearance indicate other medical conditions, such as epiglottitis. [11] Causes [ edit ] Croup is usually deemed to be due to a viral [en.wikipedia.org]

[…] croup worsens, stridor may decrease considerably. [1] Other symptoms include fever, coryza (symptoms typical of the common cold ), and indrawing of the chest wall –known as Hoover's [en.wikipedia.org]

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Pulmonary Disorder

Signs of advanced disease include pursed-lip breathing, accessory respiratory muscle use, paradoxical inward movement of the lower rib cage during inspiration (Hoover sign [msdmanuals.com]

sign) Cyanosis Elevated jugular venous pulse (JVP) Peripheral edema Thoracic examination reveals the following: Hyperinflation (barrel chest) Wheezing – Frequently heard [emedicine.medscape.com]

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Cauda Equina Syndrome

Abstract In the first prospective comparison of 'scan-negative' (n 11) and 'scan-positive' (n 7) patients with cauda equina syndrome (CES) we found that Hoover's sign of functional [ncbi.nlm.nih.gov]

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Spondylitis

Sign-up for news and updates about AS and Arthritis Ireland Donate Back to top [arthritisireland.ie]

[…] button back to the spine and tuck down your tail bone - Maintain even breathing For detailed information on posture while; - sitting - driving - in the kitchen - ironing - hoovering [arthritisireland.ie]

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Osteosarcoma

Shaikh N, Hoberman A, Kaleida PH, Rockette HE, Kurs-Lasky M, Hoover H, Pichichero ME, Roddey OF, Harrison C, Hadley JA, Schwartz RH. Otoscopic signs of otitis media. [ncbi.nlm.nih.gov]

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Obstructive Atelectasis

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Myelopathy

If paralysis is incomplete, Hoover's sign can be helpful. 25 Spinal imaging is appropriate at the outset, partly to allay patient (and doctor) anxieties, and partly to exclude [pn.bmj.com]

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