Bronchogenic Carcinoma To Emergency in Medicine / Internal Medicine — 66yo Man | Cardiology | SMLE Q#1076
SMLE Question #1076
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 66-year-old man with bronchogenic carcinoma presents to the emergency department with progressive shortness of breath and dizziness. Examination shows markedly elevated jugular venous pressure, clear lungs, very quiet heart sounds, and no peripheral edema. Cardiac tamponade due to a malignant pericardial effusion is suspected. What is the most appropriate next step to confirm the diagnosis?
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