Pentad of pain, fever, jaundice, confusion and shock is seen in: March 2009: (A) Pancreatitis, (B) Hepatitis, (C) Cholangitis, (D) Appendicitis
Answer is C. Ans. C: Cholangitis Features of cholangitis: Charcot's triad - right upper quadrant pain, fever, jaundice Reynolds' pentad - right upper quadrant pain, fever, jaundice, hypotension, and mental status changes (delirium, anxiety, and coma) Nausea and/or vomiting Right upper quadrant tenderness (mild to moderate)