The mnemonic
Charcot's triad plus two
What each word stands for
- FeverCharcot's triad, first component
- JaundiceCharcot's triad, second component
- RUQ painCharcot's triad, third component
- HypotensionAdded in Reynolds' pentad, shows septic shock
- ConfusionAdded in Reynolds' pentad, altered mental status
Why it matters clinically
The pentad marks severe suppurative cholangitis that needs urgent biliary decompression.
Where it stops being reliable
Many patients present with only some features, so absence of the full pentad does not exclude cholangitis.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.