Question

A 66-year-old woman presents with a 6-week history of fatigue, anorexia, and vague upper abdominal discomfort. Blood tests reveal: Haemoglobin 98 g/L (MCV 75 fL), Ferritin 8 ng/mL. What is the most appropriate next investigation according to NICE guidelines?

Accepted Answer

Upper and lower gastrointestinal endoscopy

Answer

Trial of oral iron supplementation for 3 months

Answer

Colonoscopy only

Answer

CT abdomen and pelvis

Answer

Repeat FBC and ferritin in 1 month

Practice question

A 66-year-old woman presents with a 6-week history of fatigue, anorexia, and vague upper abdominal discomfort. Blood tests reveal: Haemoglobin 98 g/L (MCV 75 fL), Ferritin 8 ng/mL. What is the most appropriate next investigation according to NICE guidelines?