[indian]

55 Yr old man presented with Iron deficiency anemia and chronic constipation. Fecal occult blood reportedly negative twice.
What is the next step in management?

A- Colonoscopy
B- Nutritional history and advice
C- Full anemia work up
D- Vitamin C therapy
E- Bleeding nuclear scan

 

[Guest]

I'd say we work up the anemia

 

[khanar]

Your still do colonoscopy

No matter how many times you get a negative FOB you still do colonoscopy in patients over 50 in USA. We can't afford missing CA colon.