Question

A 35-year-old woman presents with fatigue. She is a vegetarian and has heavy menstrual bleeding. Blood tests show: Hb 95 g/L (115-165), MCV 72 fL (80-100), MCH 24 pg (27-32). Ferritin 8 µg/L (15-300). What is the most appropriate initial management?

Accepted Answer

Oral ferrous fumarate 210mg once daily

Answer

Blood transfusion

Answer

Intravenous iron infusion

Answer

Referral for gastroscopy and colonoscopy

Answer

Vitamin B12 injection

Practice question

A 35-year-old woman presents with fatigue. She is a vegetarian and has heavy menstrual bleeding. Blood tests show: Hb 95 g/L (115-165), MCV 72 fL (80-100), MCH 24 pg (27-32). Ferritin 8 µg/L (15-300). What is the most appropriate initial management?