Which of the following is not a component of Reynolds' Pentad in toxic cholangitis?: (A) Right upper quadrant pain, (B) Confusion, (C) Septic shock, (D) Markedly elevated transaminases
Answer is D. Reynold's pentad of acute obstructive cholangitis(suppurative cholangitis) includes - persistent right upper quadrant pain,persistent fever,persistent jaundice,shock(toxicity) and altered mental status. Reference:SRB's manual of surgery,5th edition,page no:651.