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.
Tonic fibers: Insertion: the point of attachment of a muscle that moves the most when the muscle shortens, and is the most distal end of limb muscles. For the biceps, the belly lies anterior to the humerus, the origin the coracoid process of the scapula, and the insertion is the radial tuberosity.