Question

A 45-year-old premenopausal woman is found to have microcytic anaemia (Hb 92 g/L, low MCV, low ferritin). She has heavy menstrual bleeding but no other symptoms. Which is the most appropriate initial investigation to consider in addition to iron studies?

Accepted Answer

Coeliac serology

Answer

Bone marrow biopsy

Answer

Serum B12 and folate only

Answer

CT colonography

Answer

PET-CT

Practice question

A 45-year-old premenopausal woman is found to have microcytic anaemia (Hb 92 g/L, low MCV, low ferritin). She has heavy menstrual bleeding but no other symptoms. Which is the most appropriate initial investigation to consider in addition to iron studies?