<prompt> All are among Charcots triad except:FeverVomitingJaundiceMental obtundation  <response>: Ans: d Mental obtundationRef: Sabiston, 18th ed.Charcots triad of ascending cholangitis is seen choledocholithiasis stones in CBD. It consists of: Intermittent pain Intermittent fever Intermittent jaundiceThe stone impacts in the CBD and causes obstruction leading to pain and jaundice. The stasis leads to infection, bacteraemia and fever. As the stone moves, obstruction is relieved and hence the intermittency of the symptoms.If the obstruction persists, it can lead to suppurative cholangitis manifested as Reynolds pentad.Reynolds pentad Persistent painPersistent feverPersistent jaundiceHypotensionMental obtundation Important triads in surgerySaints triadCushings triad raised ICDDiverticulosis of colonHypertensionGallstonesBradycardiaHiatus herniaDecreased respiratory rateVirchows triadMurphys triadHyperviscosityPain RIFEndothelial injury stasisVomiting Fever 