<prompt> Which of the following is not true regarding cholangitisIncreased leucocyte countDecreased transaminasesIncreased alkaline phosphataseAssociation with fever and chills  <response>: Cholangitis It is characterized by charcots triad od abdominal pain jaundice fever There is leucocytosis, hyperbilirubinemia and raised ALP and transaminases Positive blood culture is more common in paial obstruction than with complete obstruction Cholangiography is mandatory as a diagnostic and potentially therapeutic intervention Ref: Sabiston 20th edition Pgno :1507 