A 54-year-old man presents with new iron deficiency anaemia (Hb 96 g/L, low MCV, low ferritin) and no obvious gastrointestinal symptoms. According to ...

Question

A 54-year-old man presents with new iron deficiency anaemia (Hb 96 g/L, low MCV, low ferritin) and no obvious gastrointestinal symptoms. According to Canadian recommendations, what is the most appropriate next step?

Accepted Answer

Screen for coeliac disease and colon cancer with bidirectional endoscopy

Answer

Start oral iron and observe; no further investigation

Answer

Order abdominal ultrasound only

Answer

Refer directly for small bowel capsule endoscopy

Answer

Assume dietary deficiency and repeat blood work in 6 months

ca-mccqe1 MCQ (SBA): Iron deficiency anaemia

A 54-year-old man presents with new iron deficiency anaemia (Hb 96 g/L, low MCV, low ferritin) and no obvious gastrointestinal symptoms. According to Canadian recommendations, what is the most appropriate next step?