Question

A 58-year-old man with microcytic anemia (Hb 9.6 g/dL, ferritin 18 ng/mL) has no overt bleeding. Which next step is recommended to evaluate etiology?

Accepted Answer

Order colonoscopy and consider upper endoscopy to evaluate GI blood loss

Answer

Start iron and reassess in 6 months without further workup

Answer

Test for G6PD deficiency

Answer

Start erythropoietin

Answer

CT abdomen/pelvis for malignancy screening

Practice question

A 58-year-old man with microcytic anemia (Hb 9.6 g/dL, ferritin 18 ng/mL) has no overt bleeding. Which next step is recommended to evaluate etiology?