Question

A 48-year-old man presents with tiredness and shortness of breath on exertion. FBC shows Hb 9.8 g/dL, MCV 72 fL and low ferritin. He reports no overt bleeding. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent upper and lower GI endoscopy

Answer

Start oral iron and no further investigation

Answer

Offer reassurance and dietary advice only

Answer

Request haemoglobin electrophoresis and repeat FBC in 6 months

Answer

Refer for bone marrow biopsy

Practice question

A 48-year-old man presents with tiredness and shortness of breath on exertion. FBC shows Hb 9.8 g/dL, MCV 72 fL and low ferritin. He reports no overt bleeding. What is the most appropriate next step in management?