A 45-year-old premenopausal woman presents with microcytic anaemia (Hb 9.5 g/dL, low MCV, low ferritin). She has no obvious heavy menstrual loss and n...

Question

A 45-year-old premenopausal woman presents with microcytic anaemia (Hb 9.5 g/dL, low MCV, low ferritin). She has no obvious heavy menstrual loss and no GI symptoms. What is the most appropriate initial management?

Accepted Answer

Start oral ferrous sulphate and investigate for underlying cause including GI malignancy

Answer

Give blood transfusion and no further tests

Answer

Start oral iron and assume menstrual loss as the cause without questions

Answer

Start Erythropoietin injections

Answer

Reassure that this is likely dietary and no tests are needed

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

A 45-year-old premenopausal woman presents with microcytic anaemia (Hb 9.5 g/dL, low MCV, low ferritin). She has no obvious heavy menstrual loss and no GI symptoms. What is the most appropriate initial management?