Which of the following is not a component of Reynold's pentad in toxic cholangitis: (A) Right upper quadrant pain, (B) Confusion, (C) Septic shock, (D) Markedly elevated transaminases
Answer is D. 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