Question

A 32-year-old woman with iron deficiency anaemia (Hb 92 g/L, low MCV, low ferritin) has chronic diarrhoea and bloating. She has no obvious source of blood loss and no menorrhagia. Which is the most appropriate next investigation to evaluate a potential underlying cause?

Accepted Answer

Coeliac serology including tissue transglutaminase IgA

Answer

Colonoscopy only

Answer

Serum vitamin B12 level

Answer

Bone marrow biopsy

Answer

CT abdomen and pelvis with contrast

Practice question

A 32-year-old woman with iron deficiency anaemia (Hb 92 g/L, low MCV, low ferritin) has chronic diarrhoea and bloating. She has no obvious source of blood loss and no menorrhagia. Which is the most appropriate next investigation to evaluate a potential underlying cause?