Mr. Jones presents to the clinic with extreme pain in his left arm. During your assessment, you notice that he has a prosthetic left arm (from the shoulder down). What explanation can you provide for Mr. Jones reporting extreme pain in his left arm?

Choice A reason: Absence seizures involve brief staring spells, not continuous tonic-clonic movements. The patient’s prolonged, unresponsive seizure activity indicates status epilepticus, so this is incorrect for the seizure type.

Choice B reason: Status epilepticus is continuous or recurrent seizures lasting over 5 minutes, often tonic-clonic, with unresponsiveness, tachycardia, and hypertension. This matches the patient’s presentation, making it the correct type.

Choice C reason: Myoclonic seizures cause brief muscle jerks, not prolonged tonic-clonic activity. Status epilepticus describes the continuous seizure state, so this is incorrect for the observed seizure.

Choice D reason: Tonic-clonic seizure is a single event, but continuous activity suggests status epilepticus. The prolonged duration and unresponsiveness point to status, so this is incorrect.

Choice A reason: Redness and heat are local inflammatory signs, occurring at the injury site due to vasodilation. Systemic manifestations, like fever and leukocytosis, affect the whole body, reflecting immune activation, so this is incorrect for systemic inflammation.

Choice B reason: Fever and leukocytosis are systemic manifestations of inflammation, involving the entire body. Fever results from cytokine release, and leukocytosis indicates increased white blood cells, both reflecting widespread immune response, making this the correct choice for systemic effects.

Choice C reason: Pain and edema are primarily local inflammatory responses, occurring at the site of injury or infection. Systemic effects, like fever and leukocytosis, involve broader physiological changes, so this is incorrect for systemic inflammation manifestations.

Choice D reason: Formation of exudates is a local inflammatory response, involving fluid leakage at the injury site. Systemic manifestations, such as fever and leukocytosis, affect the whole body, so this is incorrect for the systemic category of inflammation.