000			02454cam a2200193 4500
001			NMDX7001
008			120401t2015 xxu||||| |||| 00| 0 eng d
100			_aVadhwana, B.
240			_aBMJ
245			_aA premenopausal woman with abdominal discomfort and iron deficiency anaemia
260			_c2015
500			_aNMUH Staff Publications
500			_a351
520			_a<span style="font-family: FreeSerif; font-size: 10pt;"></span><p align="left"><span style="font-family: Arial;">A 48 year old premenopausal woman presented to our clinic <span>with a 12 month history of intermittent abdominal discomfort <span style="font-family: Arial;"><span>associated with bloating, constipation, and weight loss of 6.3 <span>kg. Her medical history included chronic iron deficiency <span style="font-family: Arial;"><span>anaemia, vitamin D deficiency, and episodes of fresh rectal <span>bleeding caused by haemorrhoids, which required sclerotherapy. <span style="font-family: Arial;"><span>She had undergone a diagnostic laparoscopy for abdominal <span>pains, which did not detect any abnormalities. There was no <span style="font-family: Arial;"><span>family history of colorectal cancer. On examination she looked <span>well, weighed 50 kg, with a body mass index of 20. Her <span style="font-family: Arial;"><span>abdomen was soft, non-tender, and without palpable masses. <span>The results of a digital rectal examination were normal. Routine <span style="font-family: Arial;"><span>blood tests showed iron deficiency anaemia, with haemoglobin <span>109 g/L (reference range 117-155), mean corpuscular volume <span style="font-family: Arial;">80.6 fL (80-100), mean corpuscular haemoglobin 27.3 pg/cell <span style="font-family: Arial;">(27-33), and ferritin 4 ng/mL (10-232).</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p><span style="font-size: 10pt;"> </span>
700			_aMohite, U.
700			_aCollins, C.
856			_uhttps://www.ncbi.nlm.nih.gov/pubmed/26338052
856			_uhttp://www.bmj.com/content/351/bmj.h4664.long
999			_c76017 _d76017