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serratus posterior superior
origin: spinous processes of C7 to T4
insertion: ribs 2-4
action: elevates the ribs

serratus posterior inferior
origin: spinous processes of T11 to L2
insertion: ribs 8-12
action: depresses the ribs, stabilizing the lower rib cage

external intercostal
origin: inferior margin of the rib above
insertion: superior margin of the rib below
action: fibers run obliquely downward and forward; elevates the ribs, aiding inspiration

internal intercostal
origin: inferior margin of the rib above
insertion: superior margin of the rib below
action: fibers run obliquely downward and backward, opposite the external layer; depresses the ribs aiding forced exhalation

innermost intercostal
origin: inferior margin of the rib above
insertion: superior margin of the rib below
action: fiber direction matches the internal layer; depresses the ribs aiding forced exhalation
bucket handle motion

scalenus anterior
origin: transverse processes of C3 to C6
insertion: the first rib
action: elevates the first rib during forced inspiration

vein
carries blood toward the heart
thinner walls
most carry deoxygenated blood though the pulmonary veins are the exception
artery
carries blood away from the heart
thicker walls
most carry oxygenated blood but the pulmonary arteries are the exception
systole
contraction
diastole
relaxation
aortic valves
tricuspid (right)
mitral/bicuspid (left)
semilunar valves
pulmonary (right)
aortic (left)
atrial systole
atrial contraction
aortic valves open
semilunar valves close
blood flows from the atria to the ventricles
isovolumetric contraction
all valves close
pressure increases
volume is constant
ventricular ejection
semilunar valves open
aortic valves close
blood ejected into aorta and pulmonary artery
isovolumetric relaxation
all valves close
pressure drops
volume is constant
ventricular filling
aortic valves open
semilunar valves close
blood flows from the veins to the ventricles
S1
mitral area
lub
closure of aortic valves
start of ventricular systole
S2
aortic area
dub
closure of semilunar valves
start of ventricular diastole