A 44-year-old woman presents with prolonged heavy menstrual bleeding and symptomatic iron deficiency anaemia. Haemoglobin is 78 g/L, she is haemodynam...

Question

A 44-year-old woman presents with prolonged heavy menstrual bleeding and symptomatic iron deficiency anaemia. Haemoglobin is 78 g/L, she is haemodynamically stable and denies chest pain or dyspnoea at rest. What is the most appropriate initial management of her anaemia?

Accepted Answer

Start oral iron therapy without transfusion

Answer

Transfuse 2 units of red blood cells immediately

Answer

Transfuse 1 unit of red blood cells and reassess

Answer

Start intravenous iron and avoid transfusion

Answer

Recommend hysterectomy before treating anaemia

ca-mccqe1 MCQ (SBA): Iron deficiency anaemia

A 44-year-old woman presents with prolonged heavy menstrual bleeding and symptomatic iron deficiency anaemia. Haemoglobin is 78 g/L, she is haemodynamically stable and denies chest pain or dyspnoea at rest. What is the most appropriate initial management of her anaemia?