How to Diagnosis Secondary Bacterial Pernitis

The reason primary SPP is sneaky is because they don't have frank peritoneal signs. So if you have overt peritonitis, aka surgical abdomen, that's bad. And then more importantly, if you've given an ad box for three to five days and the patient's still really septic and still in multi-organ failure, you're probably missing something, right, Josh? Exactly. I mean, it all depends on clinical context. If someone is coming into the ICU in their septic, in their serotic patient, yeah, you're not going to go wrong.