This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gall Bladder & Bile Ducts, Subject name: Surgery
Charcot triad include all the following except 
Select and explain. 
A. Abdominal pain, B. Fever, C. Jaundice, D. Mental obtundation
D: Mental obtundation
Answer: D: Mental obtundation 
Explanation: Ans) d (Mental obtundation) Ref Bailey 25th ed pg 1125Charcot's triadA triad of cholangitis which includes pain, jaundice & fever.Mental otundation is seen in Reynolds pentad.Reynold's pentadCharcot's triad + shock + mental obtundationSaint's triadGall stones, Hiatus hernia, Diverticulitis.Courvoisier's lawIn obstruction of the CBD due to a stone distention of GB seldom occurs - organ is usually shrivelled.