Hoover's sign of COPD

System: Chest & Breathing Signs · All chest & breathing signs

What it is — and how it is elicited

The lower edges of the rib cage are pulled inward during inspiration, instead of expanding outward.

What a positive finding suggests

Associated with severe chronic obstructive pulmonary disease (COPD) with a flattened diaphragm.

◈ Behind the name

Charles Franklin Hoover (1865–1927), American physician; he also described a leg-weakness sign of the same name.

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Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.