QuestionSBA
QuestionChoice
Blood transfusions are indicated when haemoglobin is < 75g/L (< 80g/l in patients with a history of acute coronary syndrome)
10001420
d
Red blood cell transfusion
QuestionChoice
The blood results suggest iron deficiency anaemia. In a patient 60 or over, a new iron deficiency anaemia may suggest colorectal cancer, so the 2-week wait pathway should be initiated. Thrombocytosis also suggests underlying inflammation which could be caused by malignancy.
10001417
a
2 week wait colonoscopy
QuestionChoice
This would be useful for staging malignancies such as colorectal cancer, however, it is more appropriate to carry out a colonoscopy first to confirm the diagnosis.
10001419
c
CT abdomen + pelvis
QuestionChoice
Colonoscopy is the first-line investigation in patients aged 60 or over with new onset iron deficiency anaemia. Investigations must be initiated under the 2-week wait pathway so that malignancies can be excluded or treated quickly.
10001421
e
Non-urgent colonoscopy
QuestionChoice
Iron deficiency anaemia can be treated with ferrous fumarate, however, it is more prudent to exclude malignancy in a patient aged 60 or over with new iron deficiency anaemia.
10001418
b
Oral ferrous fumarate 210mg OD
Concept
Chapter
2693
3794
Iron deficiency anaemia
Topic
157
Haematology
12830
A 60-year-old female presents to her GP with fatigue. She reports having palpitations and has conjunctival pallor on examination.


Her blood results are the following:


||||
|--------------|:-------:|---------------|
|Haemoglobin|80  g/L|(M) 130 - 170, (F) 115 - 155|
|Mean Cell Volume (MCV)|70 fL|80 - 96|
|White Cell Count|6x10<sup>9</sup>/L|3.0 - 10.0|
|Platelets|420x10<sup>9</sup>/L|150 - 400|


Her last blood results 1 year ago were normal.


What is the most appropriate next step in the management of this patient?
a