Anemia Medical Question

Anemia:

A 44-year-old male presents to your clinic with a chief complaint of fatigue. He states that he has never smoked in his life but he does drink on social occasions. His past medical history is insignificant. His blood pressure is 120/70 mmHg and his heart rate is 86/min. Physical examination is insignificant. Laboratory study shows:

Hemoglobin…………….. 7.6 g/dL
MCV ……………………… 71 fL
MCHC ……………………  27%
Leukocyte count ………… 7,800/cmm
ESR  ………………………. 15 mm/hr

Serum iron and ferritin levels are decreased. What is the next best step in management of this patient?

A] Iron supplementation
B] Work up for Malabsorption
C] Bone marrow sampling
D] Test of occult blood in the stool
E] Dietary modification
F] Blood transfusion
G] Hemoglobin electrophoresis

 

 

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