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CPE-004 · Safety
ID-GI-01: Gastrointestinal evaluation: men and postmenopausal women
Gastrointestinal evaluation: men and postmenopausal women. Evaluates iron-deficiency anemia pattern (ID-11).
Condition
- iron-deficiency anemia pattern (ID-11)
- male, OR postmenopausal woman
What it reports
- Priority review: iron-deficiency anemia in a man or postmenopausal woman needs a gastrointestinal source considered
Recommended next steps (for physician review)
- AGA 2020: bidirectional endoscopy is suggested for asymptomatic men and postmenopausal women with iron-deficiency anemia
- Colorectal cancer screening status should be reviewed
Diagnostic boundary
- Physician decides the evaluation; the engine does not choose the test.
Evidence
- EV-AGA-2020Ko CW, Siddique SM, Patel A, et al. AGA Clinical Practice Guidelines on the Gastrointestinal Evaluation of Iron Deficiency Anemia. Gastroenterology. 2020;159(3):1085-1094.Supports: A ferritin cutoff of 45 ng/mL is suggested to diagnose iron deficiency Bidirectional endoscopy is suggested for asymptomatic men and postmenopausal women with iron-deficiency anemia Celiac serology and H. pylori testing have a role in evaluation
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
IRON-FX-03
Iron-deficiency anemia in a man
A 61-year-old man with Hb 10.9, MCV 76 and a ferritin of 9.
IRON-FX-04
Iron-deficiency anemia after menopause
A 67-year-old woman, postmenopausal, Hb 10.6, ferritin 11.
IRON-FX-09
Heart failure with ferritin 180 and TSAT 14
Ferritin 100–299 with low saturation meets the heart-failure definition.
IRON-FX-14
Anemia with overt gastrointestinal bleeding
Black stools and Hb 8.9.
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