A 56-year-old woman presents with new fatigue. Hb is 88 g/L, mean corpuscular volume 70 fL, and ferritin 5 µg/L. She has no menorrhagia and is postmen...

Question

A 56-year-old woman presents with new fatigue. Hb is 88 g/L, mean corpuscular volume 70 fL, and ferritin 5 µg/L. She has no menorrhagia and is postmenopausal. According to Canadian practice, what is the most appropriate next diagnostic step?

Accepted Answer

Order colonoscopy to evaluate for occult gastrointestinal blood loss

Answer

Start oral iron and review in 6 months without further investigation

Answer

Order bone marrow biopsy

Answer

Order CT scan of the abdomen and pelvis

Answer

Assume dietary iron deficiency and provide dietary counselling only

ca-mccqe1 MCQ (SBA): Iron deficiency anaemia

A 56-year-old woman presents with new fatigue. Hb is 88 g/L, mean corpuscular volume 70 fL, and ferritin 5 µg/L. She has no menorrhagia and is postmenopausal. According to Canadian practice, what is the most appropriate next diagnostic step?