<prompt> Which of the following is not a component of Reynolds Pentad in toxic cholangitis?Right upper quadrant painConfusionSeptic shockMarkedly elevated transaminases  <response>: Reynolds pentad of acute obstructive cholangitissuppurative cholangitis includes - persistent right upper quadrant pain,persistent fever,persistent jaundice,shocktoxicity and altered mental status. Reference:SRBs manual of surgery,5th edition,page no:651. 