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Medicine General 22a7aaf8

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
High-Yield Explanation
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.

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