Reynolds pentad

Reynolds’ Pentad which has this combination of symptoms is an indication that the patient’s condition is worsening. Diagnosis of Ascending Cholangitis. Blood tests reveal features of acute inflammation, such as elevated level of C-reactive protein and increased white blood cell count. Patient also has abnormal liver function tests (LFTs ...

The application of endotoxin adsorption therapy for severe acute cholangitis is controversial. We present a survival case of septic shock and multiple organ failure due to severe acute cholangitis. The patient was treated by endotoxin adsorption therapy using polymyxin B-immobilized fiber because he continued to remain in shock even after …Aerophagia (or aerophagy) is a condition of excessive air swallowing, which goes to the stomach instead of the lungs.Aerophagia may also refer to an unusual condition where the primary symptom is excessive flatus (farting), belching (burping) is not present, and the actual mechanism by which air enters the gut is obscure or unknown. Aerophagia in psychiatry is sometimes attributed to ...Lépine's sign. Lépine's sign is one of the medical signs of gallbladder disease. It is positive when effleurage (light percussion) with crooked third finger at the point of the gallbladder projection to anterior abdominal wall (Gallbladder point, which is present below right costal margin in mid clavicular line) elicits pain. It is not to be ...1. 2. →. Reynolds Ball Pen is a great choice if you're looking for a smooth ball pen. Our ball pen collections have blue ball pen, black ball pen and red ball pen. Buy now!History. In 1877, Charcot described cholangitis as a triad of findings of right upper quadrant (RUQ) pain, fever, and jaundice. The Reynolds pentad adds mental status changes and sepsis to the...Abdominal pain, also known as a stomach ache, Is a symptom associated with both non-serious and serious medical issues. Since the abdomen contains most of the body's vital organs, it can be an indicator of a wide variety of diseases. Given that, approaching the examination of a person and planning of a differential diagnosis is extremely important. ...RUQ pain, fever, jaundice *Reynolds pentad (+ Hypotension, AMS) What type of gallstone is seen more commonly in bacterial and parasitic infections, as well as more prevalent in south Eastern Asia? Brown stone. Child with yellowing of skin occurring during times of stress, small rise in indirect bilirubin on labs, otherwise normal findings. Dx?

Reynold's Pentad - seen in ascending Cholangitis. November 14, 2021. SOURCE - MEDCADRE | INSTAGRAM. Tags: #Gastroenterology #internal_Medicine #Surgery ...The current investigation, arguably the first in the Western hemisphere, systematically evaluated Charcot triad, Reynolds pentad, and the Tokyo Guidelines criteria in a large, homogeneous group of patients with cholangitis due to ERCP-documented CBD stones, 110 of whom were 80 years of age or older.Fecal occult blood (FOB) refers to blood in the feces that is not visibly apparent (unlike other types of blood in stool such as melena or hematochezia).A fecal occult blood test (FOBT) checks for hidden (occult) blood in the stool (feces). The American College of Gastroenterology has recommended the abandoning of gFOBT testing as a colorectal cancer screening tool, in favor of the fecal ...Learn how to say Reynolds with EmmaSaying free pronunciation tutorials.Definition and meaning can be found here:https://www.google.com/search?q=define+Reynolds178 T-J. LIU infectionsourcehadbeenfound.Theageofthese47ABSScasesrangedfrom22to 83 years with an average of 57.6 years. Thirty-one patients had undergone other ...Acute cholangitis is the result of bacterial infection superimposed on partial or complete obstruction of the biliary system. It occurs in 6% to 9% of patients admitted with cholelithiasis. In the past, about 80% of cases were related to choledocholithiasis. However, due to the increase in endoscopic and radiological intervention and prolonged survival in patients with malignant disease, more ...SUBSCRIBE FOR MORE VIDEOS : https://tinyurl.com/w34sa56hGET YOUR MEDICAL NOTES HERE: https://tinyurl.com/52mb738dGET 15% OFF YOUR PURCHASE OF THE MEDICAL NOT...

Charcot's cholangitis triad is the combination of jaundice; fever, usually with rigors; and right upper quadrant abdominal pain. It occurs as a result of ascending cholangitis (an infection of the bile duct in the liver). When the presentation also includes low blood pressure and mental status changes, it is known as Reynolds' pentad. It is ... Jan 30, 2007 · In 1877,9 Charcot was the first to describe the clinical triad of fever, jaundice and abdominal pain as a clinical manifestation of acute cholangitis, and in 1959, Reynolds and Dragan18 were the first to describe a severe form of cholangitis that included Charcot’s triad plus septic shock and mental status change (Reynold’s Pentad). Raynaud phenomenon (RP) is an exaggerated vasoconstrictive response of distal arteries and arterioles (most commonly in the fingers and toes) to cold or emotional stress. Primary RP is idiopathic, whereas secondary RP is caused by underlying systemic diseases (e.g., mixed connective tissue disease, vasculitides, medications).Both types typically manifest with the sequential discoloration of ...Cholangitis • Suppurative acute cholangitis • Presence of pus under pressure in a completely obstructed ductal system leads to symptoms of toxicity • REYNOLDS PENTAD • Mental confusion and septic shock • Biliary pain, jaundice and spiking fever with chills • Response to antibiotics is poor • Multiple hepatic abscesses are present ...Charcot's triad is the manifestation of biliary obstruction with upper abdominal pain, fever and jaundice. The condition may progress rapidly to Reynold's pentad, which consists of Charcot's triad with confusion and hypotension. Acute cholangitis is a serious complication of biliary disease where the bile duct is obstructed by either ...

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อนึ่ง ในกรณี ท่อน้ำดีอักเสบรุนแรง จะประกอบด้วยอาการหลัก 5 อาการร่วมกัน เรียกว่า 'Reynolds' pentad' คือ อาการของ Charcot's triad (3อาการดังกล่าว ...Rupture of the cyst into the lumen of the gallbladder can present with Charcot’s triad and subsequently Reynolds Pentad. These patients are misdiagnosed as calculus disease of the gallbladder on clinical examination, but ultrasound can help establish the definitive diagnosis.Pegasus is a Part 91 operator with extensive fixed- and rotor-wing experience, Part 23, 25, 27, and 29 aircraft. The combination of our flight department, maintenance, avionics, and administrative departments provide your team with: Aircraft Management Services. FAA Part 145 Certified Repair Station (CRS), license QGOR102Y.Bilangan Reynolds. Dalam mekanika fluida, bilangan Reynolds adalah rasio antara gaya inersia (vsρ) terhadap gaya viskos (μ/L) yang mengkuantifikasikan hubungan kedua gaya tersebut dengan suatu kondisi aliran tertentu. Bilangan ini digunakan untuk mengidentikasikan jenis aliran yang berbeda, misalnya aliran laminar dan aliran turbulen.Reynold's pentad for ascending cholangitis is fever, RUQ pain, jaundice, hypotension and mental status change. In ... and jaundice is the most variable component. On the boards..charcots triad/Reynolds pentad are reliable . Upvote 0 Downvote. Phloston Osaka, Japan. Removed. Lifetime Donor. Verified Member. 10+ Year Member. Physician. Gold Donor ...Reynolds’ pentad (Charcot’s triad plus shock and a decreased level of consciousness) was presented in 1959, when Reynolds and Dargan. 8. defi ned acute ob-structive cholangitis. The pentad is often used to indi-cate severe (grade III) cholangitis, but shock and a

30 Jan 2007 ... ... Reynolds and Dragan18 were the first to ... Fever %, Jaundice %, Abdominal pain (%), Reynold's pentad (%), Shock %, Disturbed consciousness (%) ...Common bile duct lithiasis was responsible in 80% of cases presenting with Reynolds' pentad and in 66% of postoperative mortality. In 75% of patients with tumors, the clinical picture showed a rapid development following PTC. 79% of patients responded positively to antibiotic therapy with subsequent elective surgery, while in 21% of patients ...The classic three signs seen in ascending cholangitis. Right upper quadrant pain, fever with rigors in the presence of jaundice. Actually only seen in about a quarter of patients. See also Reynolds' pentad: Chvostek's sign: Elicited in hypocalcaemia. The facial muscles twitch when the examiner taps on the facial nerve.Reynolds pentad: ( ren'oldz ), abdominal pain, fever, jaundice, shock, and depression of central nervous system function; usually indicative of acute suppurative cholangitis.The Reynolds pentad adds mental state changes and sepsis to the trio. A spectrum of cholangitis ranges from mild symptoms to overwhelming fulminating sepsis. With septic shock , the diagnosis can be overlooked in up to 25% of patients.fiber optic, signal, high current and a variety of hybrid configurations. FURTHER DETAILS . Teledyne Reynolds has over 60 years of heritage supplying the highest quality, high voltage interconnect solutions to the most demanding applications in the Military/Defense, High-end Industrial, Medical, Energy and Space industries.Bilangan Reynolds. Dalam mekanika fluida, bilangan Reynolds adalah rasio antara gaya inersia (vsρ) terhadap gaya viskos (μ/L) yang mengkuantifikasikan hubungan kedua gaya tersebut dengan suatu kondisi aliran tertentu. Bilangan ini digunakan untuk mengidentikasikan jenis aliran yang berbeda, misalnya aliran laminar dan aliran turbulen.Reynolds risk score answers are found in the Taber's Medical Dictionary powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web. Download the app! ... Reynolds pentad. Reynolds risk score. Rey-Osterrieth complex figure test. RF. RFA. RFFIT. RFP. RFP. RFP. RFTکبودی یا سیانوز (به انگلیسی: Cyanosis) یا رنج کَبود [۱] [منبع بهتری نیاز است] یکی از نشانه‌های بیماری است که رنگ پوست یا مخاط،آبی یا کبود می‌شود. کبودی در اثر حضور هموگلوبین دی‌اکسیژنه در رگ‌های ...Acute cholangitis (a.k.a. ascending cholangitis) is an infection of the biliary tree caused by a combination of both biliary outflow obstruction and biliary infection. 1. It is an uncommon condition (1% of patients with gallstone disease) but is life-threatening with a mortality rate between 17 – 40%. Cholangitis has an equal sex distribution ...

درد شکمی یا شکم درد یا دل درد (به انگلیسی: Abdominal pain) می‌تواند یکی از نشانه‌های مرتبط با اختلالات گذرا یا بیماری‌های جدی باشد. بیان یک تشخیص قطعی از علت درد شکم می‌تواند مشکل باشد، زیرا بسیاری ...

The typical clinical characterization of this disease is Reynolds' pentad of abdominal pain, fever, jaundice, shock, and depression of Central-nervous-system function. 8 Although not diagnostic of ...Cupola sign. The cupola sign is seen on a supine chest or abdominal radiograph in the presence of pneumoperitoneum . It refers to dependent air that rises within the abdominal cavity of the supine patient to accumulate underneath the central tendon of the diaphragm in the midline. It is seen as lucency overlying the lower thoracic vertebral bodies.sekitar 10-20% pasien muncul gejala hipotensi (tekanan darah rendah) yang disertai syok septik dan gangguan mental, kedua gejala ini ditambah trias charcot disebut dengan Reynolds Pentad. pada beberapa pasien juga dapat muncul gejala pruritus dan feces berwarna pucat dempulReynolds International Pen Company. Reynolds Pens is an Indian brand and a former American manufacturing company of writing instruments, mainly pens. Products commercialized under the Reynolds name include ballpoint, gel, rollerball, and fountain pens, and mechanical pencils .Acute cholangitis is defined by Reynolds’ pentad of fever, right upper quadrant tenderness, jaundice, altered mental status, and hypotension; The NEXUS and Canadian C-spine rules are tools to rule patients out from the need for imaging in trauma. They both have nearly 100% sensitivity, but very poor specificities and therefore cannot rule in ...With ensuing cholangitis, hypotension and altered mental status may also occur completing Reynolds' pentad. Up to 30% have had previous episodes, some requiring endoscopic or operative decompression of the biliary tree. Gram-negative bacteria are most frequently cultured from the bile of patients with RPC.Reynolds pentad-what-who?-fever, jaundice, right upper quadrant pain, mental status change, shock/ sepsis-patients with suppurative cholangitis. rovsings sign-referred pain: palpating in left lower quadrant resulting in pain in the right lower quadrant-appendicitis-saints traid.Reynolds' pentad is extremely rare, reported in only ... Reynolds and Dargan2 in 1959 added shock and central nervous system depression as specific identifying features of this condition.Twenty ...Study redo surgery flashcards from Molly Thayer's university of colorado class online, or in Brainscape's iPhone or Android app. Learn faster with spaced repetition.

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Objective: To determine the prevalence of Charcot triad, Reynolds pentad, and Tokyo Guidelines criteria and clinical outcomes among patients with cholangitis across different age groups.There are no evidence-based-criteria for the diagnosis, severity assessment, of treatment of acute cholecysitis or acute cholangitis. For example, the full complement of symptoms and signs described as Charcot’s triad and as Reynolds’ pentad are infrequent and as such do not really assist the clinician with planning management strategies. In view of these factors, we launched a project to ...Reynold's pentad. ascending cholangitis with lethargy, confusion, tachcyardia and hypotension. what week does exocrine pancreas develop. 4-5. from what level does pancreas develop. ... reynolds pentad. asending cholangitis charcot's plus confusion and hypotension. gallstone ileus. erosion into small intestine creating fistula and bowel obstruction.The classical presentation is the Charcot triad of fever, right upper quadrant abdominal pain, and jaundice, which is only seen in ~40% of patients. Patients can also present with Reynolds pentad, which is the Charcot triad (fever, pain and jaundice) plus shock and delirium (and/or lethargy) 1-3 .In 1959, Reynolds and Dargon described a more severe form of the illness that included the additional components of septic shock and mental confusion, which is referred to as the Reynolds pentad. Next: Pathophysiology. Historically, choledocholithiasis was the most common cause of biliary tract obstruction resulting in cholangitis. ...Reynolds' pentad. Charcot's triad plus shock and mental status changes, with suppurative ascending cholangitis. Medical treatment for hepatic encephalopathy. ↓ protein intake, lactulose, rifaximin. First step in the management of a patient with an acute GI bleed. Establish the ABCs.3.1 Prediction skills. Figure 1 shows the pentad variation of prediction skills (measured by the temporal correlation coefficient between observation and ensemble-averaged forecasts, TCC) of rainfall along 110°–120° E from June to August with different lead times. The overall skill of summer rainfall is low and shows an obvious dependence …Charcot described cholangitis as a triad of findings of right upper quadrant (RUQ) pain, fever, and jaundice. The Reynolds pentad adds mental status changes and sepsis to the triad. A spectrum of cholangitis exists, ranging from mild symptoms to fulminant overwhelming sepsis. With septic shock, the diagnosis can be missed in up to 25% of patients.Clinical features include Charcot's triad, which is fever, jaundice, and abdominal pain. In severe cases, Reynold's pentad may be evident which involves.Vomiting (also known as emesis and throwing up) is the involuntary, forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose.. Vomiting can be the result of ailments like food poisoning, gastroenteritis, pregnancy, motion sickness, or hangover; or it can be an after effect of diseases such as brain tumors, elevated intracranial pressure, or overexposure to ... ….

Reynold's pentad consists of charcot's triad, but adds hypotension and mental status changes. This addition refers to symptoms of sepsis from cholangitis (3). Although Reynold's pentad is seen in only 14% of patients with common duct stones (4), the inclusion of hypotension and mental status changes is an important reminder that cholangitis is ...อนึ่ง ในกรณี ท่อน้ำดีอักเสบรุนแรง จะประกอบด้วยอาการหลัก 5 อาการร่วมกัน เรียกว่า 'Reynolds' pentad' คือ อาการของ Charcot's triad (3อาการดังกล่าว ...Living life in the public eye isn’t easy, so it’s no surprise that several celebs have basically gone into hiding in an effort to keep their pregnancies secret. Blake Lively and Ryan Reynolds are exceptional secret keepers. In fact, no one ...Reynolds' pentad—Charcot's triad plus altered mental status and hypotension a. Occurs in severe suppurative cholangitis. b. Elderly patients may present solely with delirium or an altered mental status. 3. Intrahepatic abscess can present as a late complication. 4. Laboratory/radiographic evaluation a. RG. Abbrev. for Remedial Gymnast. Want to thank TFD for its existence? Tell a friend about us, add a link to this page, or visit the webmaster's page for free fun content .Reynolds Pentad: Consists of Charcots Triad plus altered mental status and hypotension suggestive of septic cholangitis. Courvoisiers Sign: The combination of painless jaundice and a palpable gall bladder is suggestive of a biliary obstruction resulting from a malignancy other than a stone.雷诺兹五联征（英語： Reynolds' pentad ），是由急性梗阻性化脓性胆管炎引起的沙尔科三联征（腹痛、寒战高热、黄疸）、休克和中枢神经系统抑制的症状。 其名称源于1959年，外科医生B·M·雷诺兹与埃弗里特·L·达根描述了这一征象。 Physical exam findings of abdominal mass, abdominal pain, abdominal surgical scars, jaundice, and scleral icterus should be sought. Additionally, indicators of cholangitis should be identified and rapidly treated: Charcot's triad (right upper quadrant abdominal pain, jaundice, and fever) or Reynolds' pentad (Charcot's triad findings plus mental confusion and septic shock) indicate the ... Reynolds pentad, 14 Des 2021 ... Reynold pentad in severe cases. Charcot triad. altered mental status. septic shock. imaging. Right upper quadrant ultrasound. best initial ..., Signs and symptoms Signs. A medical sign is an objective observable indication of a disease, injury, or medical condition that may be detected during a physical examination. These signs may be visible, such as a rash or bruise, or otherwise detectable such as by using a stethoscope or taking blood pressure.Medical signs, along with symptoms, help in forming a diagnosis., Worshipers []. Symbol of Dumathoin. Dumathoin's clerics, known as the talhund ("hidden gifts"), protected mines from disrespectful profiteers as well as sought out new veins and gem deposits. They also supervised all mining activities to ensure that the proper respect was paid to the mountain and produced new stratagem and combat techniques for fighting the many Underdark creatures exhumed ..., Chronic functional abdominal pain. Chronic infantile neurologic cutaneous and articular syndrome. Chronic Lyme disease. Chronic prostatitis/chronic pelvic pain syndrome. Churg-Strauss syndrome. Chédiak-Higashi syndrome. Claude's syndrome. Clinically isolated syndrome. CLOVES syndrome., components of Reynolds ' pentad. Cho langitis wa s suspected. as the most lik ely cause of s eptic shock s ince no other s ource. of shock was found. Given the immu nocompromis ed., Description. The Reynolds 045 is a classic that will never go out of style. Available in 3 great ink colours of blue, black and red, it’s reliable, trustworthy and stylish as well. The great 0.7mm tip ensures smooth writing and the soft grip makes it comfortable to hold for longer. If you’re looking for a classic, go for the Reynolds 045., 782.7 Petechiae. 782.8 Change in skin texture. 782.9 Other symptoms involving skin. 783 Symptoms concerning nutrition, metabolism and development. 783.0 Anorexia. Loss of appetite. 783.1 Abnormal weight gain. 783.2 Abnormal loss of weight. 783.3 Feeding difficulties and mismanagement., Mar 4, 2015 · Check us out on Facebook for DAILY FREE REVIEW QUESTIONS and updates! (https://www.facebook.com/medschoolmadeeasy) Check out our website for TONS OF FREE REV... , The Reynolds pentad adds altered mental status and sepsis to the triad. Many patients with acute cholangitis do not present with …, Living life in the public eye isn’t easy, so it’s no surprise that several celebs have basically gone into hiding in an effort to keep their pregnancies secret. Blake Lively and Ryan Reynolds are exceptional secret keepers. In fact, no one ..., An international working group has modified the Atlanta classification for acute pancreatitis to update the terminology and provide simple functional clinical and morphologic classifications. The modifications (a) address the clinical course and severity of disease, (b) divide acute pancreatitis into interstitial edematous pancreatitis and necrotizing pancreatitis, (c) distinguish an early ..., Acute cholangitis is defined by Reynolds’ pentad of fever, right upper quadrant tenderness, jaundice, altered mental status, and hypotension; The NEXUS and Canadian C-spine rules are tools to rule patients out from the need for imaging in trauma. They both have nearly 100% sensitivity, but very poor specificities and therefore cannot …, In 1959, Reynolds and Dargon described a more severe form of the illness that included the additional components of septic shock and mental confusion, which is referred to as the Reynolds pentad. Next: Pathophysiology. Historically, choledocholithiasis was the most common cause of biliary tract obstruction resulting in cholangitis. ..., Pentalogy of Cantrell is a rare condition with a varied expression and a high mortality. We present a patient with the classic pentad (type 1), but with a previously undescribed constellation of cardiac manifestations including ectopia cordis totalis, total anomalous pulmonary venous return, and tetralogy of Fallot., Reynolds, the creator of the first ballpoint pen in the US in 1945, remains one of the most popular and renowned pen brands globally. Its products, such as the 045, Brite, Aeroslim and Jetter series, are sought-after for their superior quality and unique designs. The Reynolds ball pens are known for their reliability, smoothness, and comfort during use, …, 雷諾茲五聯征（英語： Reynolds' pentad ），是由急性梗阻性化膿性膽管炎引起的沙爾科三聯征（腹痛、寒戰高熱、黃疸）、休克和中樞神經系統抑制的症狀。 其名稱源於1959年，外科醫生B·M·雷諾茲與埃弗里特·L·達根描述了這一徵象。, what is Charcots triad, Reynolds pentad and what does it define Click the card to flip 👆 -fever, jaundice, RUQ pain -+hypotension, AMS acute CHOLANGITIS - you will see biliary dilation on abdominal US or CT it is an ascending infection due to biliary obstruction, Howship-Romberg sign. Differential diagnosis. obturator hernia. The Howship-Romberg sign is inner thigh pain on internal rotation of the hip. It can be caused by an obturator hernia. [1] [2] [3] It is named for John Howship and Moritz Heinrich Romberg. [4] [5] [6], The catchups go on. Case: A 68-year-old male presents to the Emergency Department with severe nausea and vomiting. He does not report pain. On questioning, he reports an unintentional weight loss of 8 kilograms in the last 6-months. On specific questioning, he reports that his urine has been very dark and his stools very pale. On …, Clinical manifestations of cholangitis may vary widely, from asymptomatic or oligosymptomatic to life-threatening scenarios. The classical Charcot's triad (jaundice, fever and pain) and Reynolds pentad (when shock and lethargy are included) are not always present and make the clinical diagnosis challenging . This can lead to delayed diagnosis ..., Two patients with advanced cholangitis and septic shock (the Reynolds pentad) at the time of ERCP died less than 12 hours after sphincterotomy and stone removal. Three patients with failed biliary drainage after ERCP experienced disastrous morbidity (100% vs 9%, P < .01) and mortality (67% vs 1%, P < .01) compared with 85 patients without ..., Reynold's pentad · Biliary drainage. ... Reynolds and Dargan2 in 1959 added shock and central nervous system depression as specific identifying features of this condition.Twenty-five years ..., Reynolds number: ( ren'ŏldz ), a dimensionless number that describes the tendency for a flowing fluid, such as blood, to change from laminar flow to turbulent flow or vice versa., The Reynolds Bexley Gym in Dartford Kent, offers high quality fitness facilities and affordable membership. Call us now on 01322 522209., Clinical presentation may include the triad of Charcot or the Reynolds pentad, or their components, and may be associated with a liver abscess [18, 19]. The treatment for ascending cholangitis is based on decompression, antibiotics and supportive care., Welcome back to another Medical Shorts from A Little Push. This is our playlist Medical Triads.Reynolds Pentad a finding suggesting a Severe form of ascendin..., $71,469 [95% CI, 69,627-73,312] weekday ERCP) despite a delay of 1 to 2 days.16 Formal cost-effectiveness analyses as- sessing the impact of timing of ERCP are lacking and need to be addressed in future studies., In 1959, Reynolds expanded the description of acute cholangitis by adding lethargy/mental confusion and shock indicative of ongoing biliary sepsis, thus dubbed the Reynolds' pentad . However, an unequivocal diagnosis of acute cholangitis calls for confirmation of the underlying biliary source of the systemic infection, e.g. by aspiration of ..., Study with Quizlet and memorize flashcards containing terms like dumping syndrome, vitamin K, reynolds pentad and more. Fresh features from the #1 AI-enhanced learning platform. Try it free, 178 T-J. LIU infectionsourcehadbeenfound.Theageofthese47ABSScasesrangedfrom22to 83 years with an average of 57.6 years. Thirty-one patients had undergone other ..., Several related conditions that predispose persons to secondary Raynaud's disease include scleroderma, systemic lupus erythematosus, rheumatoid arthritis and polymyositis.Pulmonary hypertension and some nervous system disorders such as herniated discs and tumors within the spinal column, strokes, and polio can progress to Raynaud's disease. Finally, injuries due to mechanical trauma caused by ..., Donald Worthington Reynolds (September 23, 1906 - April 2, 1993) was an American businessman and philanthropist. During his lifetime, he was known for his involvement in the Donrey Media Group. Biography. Reynolds was the son of Gaines W. Reynolds, a wholesale grocery salesman, and his wife, Anna Louise., The addition of altered mental status and hypotension (Reynolds pentad) signifies acute suppurative cholangitis and is an endoscopic emergency. According to the Tokyo guidelines (revised in 2018), ...