Question

A 70-year-old woman presents feeling tired. Her haemoglobin is 98 g/L with MCV 72 fL and ferritin 8 µg/L. She is postmenopausal and has no obvious bleeding. What is the most appropriate next step?

Accepted Answer

Order colonoscopy and gastroscopy to investigate for occult gastrointestinal blood loss

Answer

Start oral iron and attribute anaemia to diet

Answer

Start IV iron and no further tests

Answer

Arrange bone marrow biopsy

Answer

Reassure as normal for age

Practice question

A 70-year-old woman presents feeling tired. Her haemoglobin is 98 g/L with MCV 72 fL and ferritin 8 µg/L. She is postmenopausal and has no obvious bleeding. What is the most appropriate next step?