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Postgraduate Medical Journal 2000;76:195-198; doi:10.1136/pmj.76.894.195
© 2000 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgrad Med J 2000;76:195-198 ( April )

Review

Medicine in the elderly

Does this elderly patient have iron deficiency anaemia, and what is the underlying cause? O M P Jolobe

Department of Medicine for the Elderly, Tameside General Hospital, Fountain Street, Ashton under Lyne, OL6 9RW, UK

Correspondence to: Dr Jolobe

Submitted 24 February 1999; Accepted 7 June 1999

Important implications for the recognition of iron deficiency anaemia include diagnosis and correction of underlying causes, most of which are identifiable, in the older patient, by means of conventional upper gastrointestinal endoscopy, and by colonoscopy. The aetiological search may, however, have to be widened to include enteroscopic examination of the jejunum and ileum and, in some instances, investigation of potential non-gastrointestinal foci of chronic blood loss. A substantial minority may defy even the most thorough search for the underlying cause.


Keywords: iron deficiency; validation; underlying causes


© 2000 by The Fellowship of Postgraduate Medicine

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