Question

A 68-year-old woman presents with fatigue and dyspnoea on exertion. Full blood count shows Hb 88 g/L, MCV 72 fL, ferritin 8 µg/L and transferrin saturation 8%. She has no obvious bleeding history. What is the most appropriate initial management?

Accepted Answer

Oral ferrous iron supplementation and investigation for gastrointestinal blood loss

Answer

Immediate red cell transfusion only

Answer

Erythropoiesis-stimulating agent therapy

Answer

Folic acid supplementation alone

Answer

Vitamin B12 injections

Practice question

A 68-year-old woman presents with fatigue and dyspnoea on exertion. Full blood count shows Hb 88 g/L, MCV 72 fL, ferritin 8 µg/L and transferrin saturation 8%. She has no obvious bleeding history. What is the most appropriate initial management?