Question: History Of Present Illness 29-year-old Female Have Bleeding Between Periods And Some Rather Heavy Bleeding With Mild Cramping During My Last Two Periods. She Has Been Extremely Weak And Tired. Past Medical History Upon Reviewing Her Past Medical History, The Gynecologist Notes That Her Patient Had Four Pregnancies Within Four Years. Physical Examination …

History of Present Illness 29-year-old female have bleeding between periods and some rather heavy bleeding with mild cramping during my last two periods. She has been extremely weak and tired. Past Medical History Upon reviewing her past medical history, the gynecologist notes that her patient had four pregnancies within four years. Physical Examination and Laboratory Tests Tired- and pale-looking, overweight female BP 100/40 sitting P 140 and regular T 98.0°F Hb 9.1 g/dL Hct 27.5% MCV 69 ft. MCH 19 pg MCHC 27 g/dL Ferritin 9.7 ng/ml Peripheral Blood Smear Significant number of hypochromic, microcytic RBC Mild anisocytosis and poikilocytosis Pelvic Ultrasonography Irregularly enlarged uterus with 5 distinct uterine masses visible • Findings are consistent with a diagnosis of leiomyomas Question 1. What is the diagnosis of this patient? Write down the classification of anemia Question 2. Write down in detail the causes of this above mentioned disorder. Question 3. Write down the contributing factors of this disease in above the mentioned patient.