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.
a form of insertion of the fetal blood vessels into the placenta, in which the vessels separate before reaching the placenta and develop toward it in a fold of amnion, somewhat like the ribs of an open parasol.