Dahl's sign
Dahl's sign | |
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Differential diagnosis | Chronic obstructive pulmonary disease |
Dahl's sign (also Thinker's sign or Target sign)
The sign occurs because patients with COPD tend to sit forwards with their arms resting on their thighs, leading to chronic
Air trapping in the lungs of COPD patients causes the diaphragm to be pushed down and flattened, which reduces the effect of contraction of the diaphragm during inspiration. Sitting forwards pushes the abdominal contents upwards, increasing the curvature of the diaphragm and improving its effectiveness.[5]
Bilateral
Dahl's sign was described by K. V. Dahl in 1970.[1]
References
- ^ a b Pavithran K. Thinker's sign. Indian J Dermatol Venereol Leprol 1992;58:266-7. Full text Archived 2020-03-14 at the Wayback Machine
- PMID 25054719.
- PMID 32190435.
- PMID 31291184.
- ISBN 978-0-7817-3754-8.
- ISBN 978-0-7817-4190-3.