A 62-year-old woman has microcytic anaemia with Hb 92 g/L, MCV 72 fL and low ferritin. She reports new fatigue and no obvious menorrhagia. According t...

Question

A 62-year-old woman has microcytic anaemia with Hb 92 g/L, MCV 72 fL and low ferritin. She reports new fatigue and no obvious menorrhagia. According to Canadian recommendations, what is the most appropriate next step?

Accepted Answer

Order colonoscopy and upper GI evaluation for occult blood loss

Answer

Start oral iron and attribute anaemia to age

Answer

Transfuse red blood cells immediately to Hb >120 g/L

Answer

Start erythropoiesis-stimulating agent

Answer

Reassure and recheck CBC in 1 year

ca-mccqe1 MCQ (SBA): Iron-deficiency anaemia work-up

A 62-year-old woman has microcytic anaemia with Hb 92 g/L, MCV 72 fL and low ferritin. She reports new fatigue and no obvious menorrhagia. According to Canadian recommendations, what is the most appropriate next step?