A 64-year-old woman presents with fatigue and exertional dyspnoea. Hb is 92 g/L, MCV 72 fL, ferritin 6 µg/L, and transferrin saturation is low. She ha...

Question

A 64-year-old woman presents with fatigue and exertional dyspnoea. Hb is 92 g/L, MCV 72 fL, ferritin 6 µg/L, and transferrin saturation is low. She has no overt bleeding but is postmenopausal. What is the most appropriate next step in management?

Accepted Answer

Refer for urgent gastroenterological evaluation for possible occult blood loss

Answer

Start oral iron supplementation and no further investigation

Answer

Start folic acid supplementation

Answer

Order serum B12 only and delay other investigations

Answer

Reassure that this is likely dietary and observe

ca-mccqe1 MCQ (SBA): Iron deficiency anaemia investigation

A 64-year-old woman presents with fatigue and exertional dyspnoea. Hb is 92 g/L, MCV 72 fL, ferritin 6 µg/L, and transferrin saturation is low. She has no overt bleeding but is postmenopausal. What is the most appropriate next step in management?