A 40-year-old female presents with a history of a swollen
left leg. She had been unwell about 3 weeks prior to presentation with an
upper respiratory tract infection.
The only other history of note was that she said she
noticed that her urine was dark in colour on some mornings.
She was not on any medication.
On examination you note that her left calf is swollen,
erythematous, warm to touch and tense.
Hb 8.6 g/dL
WBC 2.4 x109 /L
Platelets 46 x109 /L
Iron studies reveal that the patient has iron deficiency
In this patient you would:
Arrange a colonoscopy to investigate iron deficiency
Arrange gastroscopy to investigate iron deficiency
Ask for a gynaecological opinion in view of iron deficiency
Arrange for haemoglobin electrophoresis
Not take any action regarding iron deficiency