Question

A 60-year-old man presents with fatigue and weight loss. Blood tests show a microcytic anaemia (Hb 92 g/L, MCV 74 fL) and low ferritin. He has no obvious gastrointestinal symptoms. What is the most appropriate next investigation?

Accepted Answer

Urgent colonoscopy under the 2-week-wait pathway

Answer

Start oral iron and review in 3 months with no further tests

Answer

Test for coeliac disease only

Answer

Bone marrow biopsy

Answer

CT head to exclude intracranial bleeding

Practice question

A 60-year-old man presents with fatigue and weight loss. Blood tests show a microcytic anaemia (Hb 92 g/L, MCV 74 fL) and low ferritin. He has no obvious gastrointestinal symptoms. What is the most appropriate next investigation?