Question 337 · LEK · Colorectal cancer
A 72-year-old male attends a doctor due to weakness, weight loss of about 8 kg over 3 months, and recurrent abdominal pain. In history: alternating periods of constipation and diarrhoea; the patient denies presence of blood in the stool. Laboratory tests revealed microcytic anaemia. Indicate the appropriate management:
- A. start oral iron supplementation and further observation.
- B. digital rectal examination and no further diagnostics, if no abnormalities are found.
- C. refer for urgent gastroscopy as the only endoscopic examination.
- D. start empirical antibiotic therapy for suspected inflammatory bowel disease.
- E. urgent colonoscopy to determine the cause of the complaints.
Hint
Iron-deficiency anaemia, weight loss and a change in bowel habit in an elderly man are red flags; which organ must be examined endoscopically?
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