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.
An ostomy is an incontinent diversion. Stoma originated from the Greek word meaning opening or mouth, and refers to the piece of intestine pulled through and sutured to the skin. Colostomy is developed when a piece of the large intestine (colon) is brought through the layers of the abdomen and sutured to the skin as a stoma. Portions of the large or small intestine may be removed, depending upon the type of surgery performed. Basic large bowel diversions: Transverse loop colostomy. 1  End colostomy Hartman's pouch. 2  Sigmoid colostomyâAbdominal Perineal Resection (rectum removed) 3  End sigmoid colostomy with mucous fistula. 4  Effluent is waste from the ostomy; urine, stool, mucous. 5  Mucous fistula is a stoma that allows decompression; usually is active for mucous.