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Iron deficiency anemia in an older adult — RCPSC IM MCQ

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ModerateGastroenterology/HepatologyIron deficiency anemia in an older adultRCPSC IM

A 62-year-old man has fatigue and reduced exercise tolerance. Hemoglobin is 86 g/L, MCV is 68 fL and ferritin is 7 microgram/L. He has no overt bleeding and takes no anticoagulant. Fecal immunochemical testing is positive. What is the most appropriate investigation?

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Correct answer: E — Colonoscopy and upper endoscopy

New iron deficiency anemia in an older man requires evaluation for gastrointestinal blood loss and malignancy with bidirectional endoscopy.

Reference: Canadian Association of Gastroenterology colorectal cancer and iron deficiency guidance