Charcoat triad is seen in: September 2006
Acute pancreatitis
Acute appendicitis
Acute hepatitis
Cholangitis
Ans. D: Cholangitis Cholangitis is due to paial or complete obstruction of the biliary tree with resulting bile stasis and secondary bacterial or microbial infection of the biliary tree Causes ? Common bile duct stones Benign biliary stricture (primary sclerosing cholangitis) Malignancy (head of pancreas adenocarcinoma, ampulla of Vater, bile duct tumors) Chronic pancreatitis Prosthesis or stents in the common bile duct Features: Charcot's triad - right upper quadrant pain, fever, jaundice Reynolds' pentad - right upper quadrant pain, fever, jaundice, hypotension, and mental status changes (delirium, anxiety, and coma) Nausea and/or vomiting Right upper quadrant tenderness (mild to moderate)