Signs and symptoms of an effusion vary depending on the underlying disease, but dyspnea, cough, and pleuritic chest pain are common. Chest examination of a patient with pleural effusion is notable for dullness to percussion, decreased or absent tactile fremitus, decreased breath sounds, and no voice transmission.
Medical Definition of velamentous insertion. : attachment of the umbilical cord to the chorion beyond the margin of the placenta.
VELAMENTOUS UMBILICAL CORD. 1  Definition â In a velamentous umbilical cord insertion, the placental end of the cord consists of divergent umbilical vessels surrounded only by fetal membranes, with no Wharton's jelly. The length of the membranous vessels, ie, the distance between the end of the normal cord and the placental insertion, is highly variable.