All are components of charcot's triad, EXCEPT:: (A) Obstructive jaundice, (B) High grade fever with chills and rigor, (C) Right upper quadrant pain, (D) Hypotension
Answer is D. 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.