A 68-year-old man presents with fatigue and exertional dyspnoea. Full blood count shows haemoglobin 95 g/L, mean corpuscular volume 70 fL and low ferr...

Question

A 68-year-old man presents with fatigue and exertional dyspnoea. Full blood count shows haemoglobin 95 g/L, mean corpuscular volume 70 fL and low ferritin. What is the most appropriate next step in management?

Accepted Answer

Arrange colonoscopy and gastroscopy to investigate for gastrointestinal blood loss

Answer

Start oral iron and no further investigation

Answer

Order serum B12 and folate only

Answer

Reassure and repeat bloods in 12 months

Answer

Transfuse red cells and discharge without further workup

au-amc MCQ (SBA): Iron deficiency anaemia

A 68-year-old man presents with fatigue and exertional dyspnoea. Full blood count shows haemoglobin 95 g/L, mean corpuscular volume 70 fL and low ferritin. What is the most appropriate next step in management?