3 Months Of Progressive in Medicine / Internal Medicine — 60yo Woman | Gastroenterology | SMLE Q#18488
SMLE Question #18488
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-IM-GI-CRC-001
Last updated: February 2026
A 60-year-old woman presents to a primary care clinic with 3 months of progressive fatigue, unintentional weight loss, and worsening chronic constipation. She reports intermittent dark stools but no hematemesis. A fecal occult blood test is positive on two separate samples. Complete blood count shows anemia. What is the best next step in diagnosis?
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