58-year-old Man in Surgery — 58yo Man | General Surgery | SMLE Q#11691

SMLE Question #11691

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 58-year-old man reports 4 months of progressive fatigue, exertional dyspnea, reduced appetite, vague abdominal discomfort, and unintentional 5-kg weight loss. He denies hematemesis, melena, or hematochezia. He appears pale. Abdominal examination reveals a firm, non-tender, poorly mobile mass in the right iliac fossa. Digital rectal examination shows no blood. Blood tests confirm microcytic iron deficiency anaemia. What is the most appropriate next step in management to further evaluate his condition?

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