A 32-year-old woman presents with fatigue. Hb is 88 g/L, MCV 72 fL and ferritin 6 µg/L. She has heavy menstrual periods but no red-flag gastrointestin...

Question

A 32-year-old woman presents with fatigue. Hb is 88 g/L, MCV 72 fL and ferritin 6 µg/L. She has heavy menstrual periods but no red-flag gastrointestinal symptoms. What is the most appropriate initial management in general practice?

Accepted Answer

Start oral ferrous sulfate and investigate potential causes including menstrual blood loss

Answer

Reassure and repeat full blood count in 6 months

Answer

Arrange urgent colonoscopy as the first step

Answer

Perform bone marrow biopsy

Answer

Start erythropoietin therapy

au-racgp MCQ (SBA): Iron deficiency anaemia

A 32-year-old woman presents with fatigue. Hb is 88 g/L, MCV 72 fL and ferritin 6 µg/L. She has heavy menstrual periods but no red-flag gastrointestinal symptoms. What is the most appropriate initial management in general practice?