<prompt> Answer this question truthfullyWhat is included in a physical examination for cholangitis?  <response>: <reason> Charcots triad is the classical presentation of acute cholangitis. Only 50-70 of patients exhibit all three features. Fever, which is present in over 90 of patients, is most common. Abdominal pain and clinical jaundice occur in about 80 of patients. Obtaining a complete and accurate patient history is the most important aspect of making a diagnosis of cholangitis. It provides insight into causes, precipitating factors, and associated comorbid conditions. The prescence of the following signs help in the diagnosis of acute suppurative cholangitis: Fever 39 C Sustained hypotension Mental confusion Steady abdominal painThe Charcots triad include the following symptoms: Fever Abdominal pain JaundiceFever Abdominal pain Jaundice Confusion Sepsis hypotensionPatient may appear lethargic and weak. Disorientation maybe present if there are signs of shock.Fever Septic shock Elderly patients may present with hypotension JaundiceRight upper quadrant RUQ tenderness Rebound tenderness Abdominal guarding may be present Abdominal pain Tachycardia Cardiac arrythmiasMental confusion Altered mental status 