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.
Such devices are often inserted with the aid of radiological guidance. Peripheral devices are also used which gain access to the major veins from a distal insertion point, usually in the antecubital fossa. Catheters may be made of polyurethane or silicone and can have 1, 2 or 3 lumens.