Question

A 70-year-old man with long-standing type 2 diabetes, hypertension and CKD stage 3 presents with progressive fatigue and pallor. Hb is 88 g/L with normocytic indices; ferritin is normal, B12 and folate are normal, and reticulocyte count is low. What is the most likely cause of his anaemia?

Accepted Answer

Anaemia of chronic kidney disease.

Answer

Iron deficiency due to occult GI bleeding.

Answer

Vitamin B12 deficiency.

Answer

Folate deficiency.

Answer

Acute blood loss.

Practice question

A 70-year-old man with long-standing type 2 diabetes, hypertension and CKD stage 3 presents with progressive fatigue and pallor. Hb is 88 g/L with normocytic indices; ferritin is normal, B12 and folate are normal, and reticulocyte count is low. What is the most likely cause of his anaemia?