This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Pentad of pain, fever, jaundice, confusion and shock is seen in: March 2009 
Select and explain. 
A. Pancreatitis, B. Hepatitis, C. Cholangitis, D. Appendicitis
C: Cholangitis
Answer: C: Cholangitis 
Explanation: 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)