<prompt> The Reynoldis pentad of fever, jaundice, right upper quadrant pain, septic shock and mental status change in typical ofCholangitisHepatitisCholecystitisPancreatitis  <response>: Reynolds pentad of acute obstructive cholangitis suppurative cholangitis-5include persistent pain,persistent fever,persistent jaundice,shocktoxicity altered mental status.Here,biliary tree contains pus.It usually develop secondary to choledocholithiasis. Reference :SRBs manual of surgery,5th edition,page no:651. 