This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Anatomy
[{'content': "Which of the following is not a component of Reynold's pentad in toxic cholangitis \nSelect and explain. \nA. Right upper quadrant pain, B. Confusion, C. Septic shock, D. Markedly elevated transaminases", 'role': 'user'}, {'content': "Answer: D \nExplanation: Reynold's pentad consists of Charcot's triad Menatl status changes Hypotension Charcot's triad Abdominal pain + jaundice + fever Ref: Sabiston 20th edition Pgno :1507", 'role': 'assistant'}]