Question

A 35-year-old premenopausal woman presents with fatigue and microcytic anaemia (Hb 90 g/L, MCV 72 fL). Ferritin is low. She has no menorrhagia. What is the most appropriate next step in investigation?

Accepted Answer

Order colonoscopy and upper endoscopy

Answer

Start oral iron without further workup

Answer

Order haemoglobin electrophoresis only

Answer

Reassure that this is normal for women

Answer

Order bone marrow biopsy

Practice question

A 35-year-old premenopausal woman presents with fatigue and microcytic anaemia (Hb 90 g/L, MCV 72 fL). Ferritin is low. She has no menorrhagia. What is the most appropriate next step in investigation?