A 49-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip and is scheduled for elective hip arthroplasty. Medical history is otherwise notable... A 49-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip and is scheduled for elective hip arthroplasty. Medical history is otherwise notable for type 2 diabetes mellitus. Her menstrual period has been heavy for the last few months. Medications are ibuprofen and metformin. Vital signs are normal. She has painful and limited range of motion in the right hip (see lab results). Which of the following is the most appropriate test to perform next? A. Iron studies B. Vitamin B12 level C. No further evaluation D. Hemoglobin electrophoresis
Understand the Problem
The question asks which medical test should be performed next for a 49-year-old woman undergoing evaluation prior to hip arthroplasty, considering her medical history and current symptoms.
Answer
Iron studies.
The final answer is Iron studies.
Answer for screen readers
The final answer is Iron studies.
More Information
Given the heavy menstrual periods, evaluating for iron deficiency anemia is appropriate before surgery. Thus, iron studies are the most appropriate test.
Tips
A common mistake is overlooking the implications of heavy menstrual bleeding, which can lead to iron deficiency anemia.
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