Question

A 50-year-old man presents with fatigue and exertional dyspnoea. Full blood count shows Hb 90 g/L, MCV 72 fL, ferritin 6 µg/L and transferrin saturation 8%. He has no overt bleeding. What is the MOST appropriate next investigation?

Accepted Answer

Arrange colonoscopy and upper GI endoscopy

Answer

Reassure and repeat FBC in 12 months

Answer

Start oral iron and no further tests

Answer

Perform bone marrow biopsy

Answer

Test for haemoglobinopathies only

Practice question

A 50-year-old man presents with fatigue and exertional dyspnoea. Full blood count shows Hb 90 g/L, MCV 72 fL, ferritin 6 µg/L and transferrin saturation 8%. He has no overt bleeding. What is the MOST appropriate next investigation?