Let's start by thinking about the difference between two kinds of sound: some sounds are what we call voiced – if you pronounce “m” or “l” or “v” or “d” you make a sound in your throat.
But there is a little technique I'm going to teach you later on in this lesson to make it a little bit easier to pronounce the voiced TH when you're speaking fast.
He invoked the word in the 1950s mostly in homage to linguists like Roman Jakobson, who had posited binary opposites (voiced and voiceless elements) as the building blocks of language.
Classically, a pleural effusion will cause decreased breath sounds, dullness to percussion, which is tapping, on the back, and decreased tactile fremitus.