Oil, you're kidding me!

A 47-year-old female collapses with loss of consciousness secondary to septic shock and is found to have a left orbital fracture and a right orbital mass that was not seen on imaging two years ago. The mass is reported as a possible ocular melanoma. She is free of any eye pain, ophthalmoplegia or deterioration of vision but has pre-existing extensive diabetic proliferative retinopathy.

Milwaukee shoulder syndrome.

Milwaukee shoulder syndrome (MSS) is a rare destructive, calcium phosphate crystalline arthropathy. It encompasses an effusion that is noninflammatory with numerous aggregates of calcium hydroxyapatite crystals in the synovial fluid, associated with rotator cuff defects. We describe a patient that presented with recurrent shoulder pain and swelling with characteristic radiographic changes and MSS was confirmed on aspiration of the synovial fluid.

An unusual cause of septicaemia.

Splenic infarction occurs when occlusion of splenic vasculature leads to ischemia, and subsequent tissue necrosis. It is a rare condition. Most patients have an underlying haematological or malignant process or a potential source of embolism.