Monday, August 2, 2010

Question of the Week # 10

•A 55 y/o man presents with shortness of breath on exertion. Laboratory studies reveal iron deficiency anemia. Patient was started on Iron pills orally. The patient consumes a lot of red meat and was surprised to know that he was iron deficient. Fecal occult blood testing revealed a positive stool guaic. A colonoscopy and EGD were subsequently performed which were absolutely normal. A repeat Guaic was performed and was found to be negative. A further investigation for the cause of iron deficiency in this patient revealed celiac disease leading to iron malabsorption. What is the most likely cause of positive Guaic in this patient? •

A. Obscure GI Bleeding

B. Celiac disease

C. False positive from red meat

D. False positive from Iron pills

E. Colon cancer

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