The Reynoldis pentad of fever, jaundice, right upper quadrant pain, septic shock and mental status change in typical of
Cholangitis
Hepatitis
Cholecystitis
Pancreatitis
Reynold's pentad of acute obstructive cholangitis (suppurative cholangitis-5%)include persistent pain,persistent fever,persistent jaundice,shock(toxicity) & altered mental status.Here,biliary tree contains pus.It usually develop secondary to choledocholithiasis. Reference :SRB's manual of surgery,5th edition,page no:651.
G.I.T