Question

A 70-year-old man presents with progressive fatigue and exertional dyspnoea. FBC shows Hb 9.2 g/dL, MCV 72 fL, and ferritin is low. He denies overt bleeding. What is the most appropriate next investigation?

Accepted Answer

Arrange an urgent upper and lower GI endoscopy

Answer

Start oral Ferrous Sulfate and no further tests

Answer

Order haemoglobin electrophoresis for thalassaemia

Answer

Repeat FBC in 6 months

Answer

Perform a Coombs test for haemolysis

Practice question

A 70-year-old man presents with progressive fatigue and exertional dyspnoea. FBC shows Hb 9.2 g/dL, MCV 72 fL, and ferritin is low. He denies overt bleeding. What is the most appropriate next investigation?