Question

A 34-year-old woman presents with 3 months of fatigue and heavy menstrual bleeding. Examination is unremarkable apart from pallor. Her haemoglobin is 92 g/L with low mean corpuscular volume and ferritin 6 µg/L. According to Australian guidance, what is the most appropriate first-line management?

Accepted Answer

Commence oral iron supplementation and investigate the cause of blood loss

Answer

Arrange immediate blood transfusion and no further investigation

Answer

Start erythropoiesis-stimulating agents

Answer

Advise dietary modification alone without iron therapy

Answer

Schedule elective splenectomy

Practice question

A 34-year-old woman presents with 3 months of fatigue and heavy menstrual bleeding. Examination is unremarkable apart from pallor. Her haemoglobin is 92 g/L with low mean corpuscular volume and ferritin 6 µg/L. According to Australian guidance, what is the most appropriate first-line management?