Question

A 48-year-old woman presents with fatigue and exertional dyspnoea. Blood tests show Hb 92 g/L, MCV 72 fL, and ferritin 6 µg/L. She has no menorrhagia. What is the most appropriate next step in management?

Accepted Answer

Refer for urgent upper and lower GI investigation for possible blood loss

Answer

Start oral iron and no further investigation

Answer

Start vitamin B12 injections

Answer

Arrange haemoglobin electrophoresis only

Answer

Reassure and repeat Hb in 6 months

Practice question

A 48-year-old woman presents with fatigue and exertional dyspnoea. Blood tests show Hb 92 g/L, MCV 72 fL, and ferritin 6 µg/L. She has no menorrhagia. What is the most appropriate next step in management?