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