11. Regular diaphragmatic breathing may be achieved by extending the outbreath by counting or humming. 12. This type of diaphragmatic setup has been referred to as the " hepatic piston ". 13. The mediastinal and central portions of the diaphragmatic pleurae are innervated by the phrenic nerves. 14. Hernias may also occur as a result of congenital malformation, a congenital diaphragmatic hernia. 15. Half of diaphragmatic ruptures that occur on the right side are associated with liver injury. 16. Hernia and appendicitis are not covered, but Diaphragmatic hernia and appendicular perforation are covered. 17. Diaphragmatic spasm is easily checked by pinching the phrenic nerve in the neck between the fingertips.18. Diaphragmatic spasm is easily tested for and treated by short term interruption of the Phrenic nerve.19. The initial fog signal was a diesel-powered diaphragmatic horn, supplemented by a bell. 20. If diaphragmatic pleurisy is present, the point becomes exceedingly painful when pressure is applied to it.