Jojo gillies 652489 68 9 year old lady lives in a residential home uses a wheelchair 90 pack year smoking history multiple comorbidities poorly mobile some weight loss some pr bleeding over the last 3 months but not quantifiable weight loss no other gi symptoms new microcytosis and anemia over the last month fit 13 I don't think she'd be a great candidate for investigations given her significant comorbidities so suggest ct thorax out on her pelvis blood test today after a month of iron supplementation gp urine dip was negative