<prompt> Charcoat triad is seen in: September 2006Acute pancreatitisAcute appendicitisAcute hepatitisCholangitis  <response>: Ans. D: Cholangitis Cholangitis is due to paial or complete obstruction of the biliary tree with resulting bile stasis and secondary bacterial or microbial infection of the biliary tree Causes ? Common bile duct stones Benign biliary stricture primary sclerosing cholangitis Malignancy head of pancreas adenocarcinoma, ampulla of Vater, bile duct tumors Chronic pancreatitis Prosthesis or stents in the common bile duct Features: Charcots 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 andor vomiting Right upper quadrant tenderness mild to moderate 