A 45-year-old premenopausal woman presents with fatigue and pica. Her haemoglobin is 92 g/L, MCV 70 fL and ferritin 5 µg/L. She has no red-flag sympto...

Question

A 45-year-old premenopausal woman presents with fatigue and pica. Her haemoglobin is 92 g/L, MCV 70 fL and ferritin 5 µg/L. She has no red-flag symptoms. What is the most appropriate initial management?

Accepted Answer

Start oral ferrous sulfate providing 100-200 mg elemental iron daily and investigate causes

Answer

Arrange intravenous iron infusion immediately

Answer

Start vitamin B12 injections

Answer

Reassure; no treatment is required

Answer

Start long-term blood transfusions

au-amc MCQ (SBA): Iron deficiency anaemia

A 45-year-old premenopausal woman presents with fatigue and pica. Her haemoglobin is 92 g/L, MCV 70 fL and ferritin 5 µg/L. She has no red-flag symptoms. What is the most appropriate initial management?