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What is All are among Charcot's triad except: and explain in detail?
Ans: d (Mental obtundation)Ref: Sabiston, 18th ed.Charcot's 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 Reynold's pentad.Reynold's pentad Persistent painPersistent feverPersistent jaundiceHypotensionMental obtundation Important triads in surgerySaint's triadCushing's triad (raised ICDDiverticulosis of colonHypertensionGallstonesBradycardiaHiatus herniaDecreased respiratory rateVirchow's triadMurphy's triadHyperviscosityPain RIFEndothelial injury stasisVomiting Fever