Question

A 55-year-old woman presents with fatigue and is found to have microcytic anaemia. Ferritin is low. She denies heavy menses. According to Canadian guidelines, what should be the next best step?

Accepted Answer

Investigate for gastrointestinal blood loss, including endoscopy

Answer

Start iron supplementation without further investigation

Answer

Assume anaemia of chronic disease

Answer

Order bone marrow biopsy

Answer

No action needed

Practice question

A 55-year-old woman presents with fatigue and is found to have microcytic anaemia. Ferritin is low. She denies heavy menses. According to Canadian guidelines, what should be the next best step?