Question 22 (part 2) · LEK · Iron deficiency anemia

A 79-year-old male presents to the doctor with general malaise. His blood tests reveal haemoglobin 10 g/dl. MCV, MCH and MCHC are below normal limits. The numbers of blood platelets and leukocytes are normal. Which of the conditions should be ruled out first?

  1. A. vitamin B12 deficiency.
  2. B. colorectal cancer.
  3. C. hemochromatosis.
  4. D. folic acid deficiency.
  5. E. chronic kidney disease.
Hint

Microcytic hypochromic anaemia in an elderly man means iron deficiency until proven otherwise; ask where the iron is being lost.

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