A 54-year-old woman is found to have a haemoglobin of 88 g/L and microcytosis. Ferritin is low and iron-deficiency anaemia is diagnosed. She reports m...

Question

A 54-year-old woman is found to have a haemoglobin of 88 g/L and microcytosis. Ferritin is low and iron-deficiency anaemia is diagnosed. She reports menorrhagia but is also post-viral with some weight loss. What is the most appropriate next step in investigation?

Accepted Answer

Offer colonoscopy or CT colonography to investigate for gastrointestinal malignancy

Answer

Reassure and treat with oral iron only

Answer

Arrange haematinics only and repeat full blood count in 12 months

Answer

Start long-term proton pump inhibitor without further tests

Answer

Refer urgently to haematology with no GI investigations

uk-plab-1 MCQ (SBA): Iron-deficiency anaemia

A 54-year-old woman is found to have a haemoglobin of 88 g/L and microcytosis. Ferritin is low and iron-deficiency anaemia is diagnosed. She reports menorrhagia but is also post-viral with some weight loss. What is the most appropriate next step in investigation?