Question

A 70 year old man presents with fatigue and exertional dyspnoea. His haemoglobin is 92 g/L, MCV 72 fL, ferritin 6 µg/L and transferrin saturation 8%. What is the most appropriate next investigation?

Accepted Answer

Refer urgently for colonoscopy and upper GI evaluation

Answer

No further workup; treat with oral iron only

Answer

Order bone marrow biopsy

Answer

Test for intrinsic factor antibodies

Answer

Start erythropoiesis stimulating agents

Practice question

A 70 year old man presents with fatigue and exertional dyspnoea. His haemoglobin is 92 g/L, MCV 72 fL, ferritin 6 µg/L and transferrin saturation 8%. What is the most appropriate next investigation?