Question

A 59-year-old man presents with fatigue and exertional dyspnoea. Hb is 92 g/L, MCV 72 fL and ferritin is low. He denies dietary restriction. What is the most appropriate next step in investigating the cause of his anaemia?

Accepted Answer

Refer urgently on a suspected cancer pathway for upper and lower GI investigation

Answer

Start oral iron and review in 6 months with no further tests

Answer

Arrange a coeliac screen only

Answer

Start a proton pump inhibitor

Answer

Perform bone marrow biopsy

Practice question

A 59-year-old man presents with fatigue and exertional dyspnoea. Hb is 92 g/L, MCV 72 fL and ferritin is low. He denies dietary restriction. What is the most appropriate next step in investigating the cause of his anaemia?