This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': "All are components of charcot's triad, EXCEPT: \nSelect and explain. \nA. Obstructive jaundice, B. High grade fever with chills and rigor, C. Right upper quadrant pain, D. Hypotension", 'role': 'user'}, {'content': "Answer: D \nExplanation: MUST KNOW: Charcot's triad of jaundice, abdominal pain, and fever is present in about 70% of patients with ascending cholangitis and biliary sepsis. It is managed initially with fluid resuscitation and intravenous antibiotics. Biliary drainage should be established at the earliest, typically by ERCP. ALSO KNOW: Charcot's triad + shock and confusion is Reynolds's pentad in biliary sepsis. It is associated with high moality rate and should prompt an urgent intervention to restore biliary drainage. Ref: Harrison, Edition-18, Page-2418.", 'role': 'assistant'}]