Question

A 70-year-old man presents with fatigue and shortness of breath on exertion. Hb is 90 g/L with MCV 70 fL, ferritin 8 µg/L. He denies overt bleeding. What is the most appropriate next investigation?

Accepted Answer

Colonoscopy (and often upper GI endoscopy) to investigate iron-deficiency anaemia

Answer

Empirical oral iron therapy alone

Answer

Bone marrow biopsy

Answer

Abdominal ultrasound only

Answer

Faecal occult blood test only

Practice question

A 70-year-old man presents with fatigue and shortness of breath on exertion. Hb is 90 g/L with MCV 70 fL, ferritin 8 µg/L. He denies overt bleeding. What is the most appropriate next investigation?