Question

A 48-year-old man has microcytic anemia (Hgb 10.5 g/dL, MCV 74 fL, ferritin 30 ng/mL, transferrin saturation 12%). He denies overt bleeding. What is the recommended next diagnostic step?

Accepted Answer

Bidirectional endoscopy to evaluate for GI blood loss

Answer

Empiric oral iron only and no evaluation

Answer

Fecal occult blood testing only

Answer

Abdominal CT with contrast

Answer

Small bowel capsule endoscopy first line

Practice question

A 48-year-old man has microcytic anemia (Hgb 10.5 g/dL, MCV 74 fL, ferritin 30 ng/mL, transferrin saturation 12%). He denies overt bleeding. What is the recommended next diagnostic step?