A 78-year-old man with a history of ischaemic stroke 6 months ago has haemoglobin 90 g/L, mean corpuscular volume 72 fL and low ferritin. He reports f...

Question

A 78-year-old man with a history of ischaemic stroke 6 months ago has haemoglobin 90 g/L, mean corpuscular volume 72 fL and low ferritin. He reports fatigue but no overt bleeding. What is the most appropriate initial investigation to determine the source of iron deficiency anaemia?

Accepted Answer

Upper and lower gastrointestinal endoscopy

Answer

Coeliac serology only

Answer

Upper gastrointestinal endoscopy only

Answer

Faecal immunochemical test only

Answer

No investigation; start oral iron only

au-amc MCQ (SBA): Iron deficiency anaemia in older adult

A 78-year-old man with a history of ischaemic stroke 6 months ago has haemoglobin 90 g/L, mean corpuscular volume 72 fL and low ferritin. He reports fatigue but no overt bleeding. What is the most appropriate initial investigation to determine the source of iron deficiency anaemia?