The need for film examination, reticulocyte counting and additional tests on the FBC sample such as checking for Heinz bodies is based on the initial clinical and FBC findings. The findings from the initial FBC examina tion have a major influence in determining the nature and urgency of 1 further clinical investigation.

Serum ferritin level will identify iron deficiency and focus on the need for detailed investigation for blood loss which, for adult males and postmenopausal females, will frequently require large bowel examination with colonoscopy or barium enema, and gastroscopy. BM examination may occasionally be required.

Anaemia is not a diagnosis—it is an abnormal clinical finding requiring an explanation for its cause. There is no place for empirical use of Fe therapy for management and treatment of 'anaemia' in modern medical practice.

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