A 14-year-old girl who complained of fatigue and loss of stamina. Her appetite was marginal, as she was very conscious of maintaining her body weight at 96 pounds. Her monthly menstrual flow was always heavy and long from its onset at twelve years of age. Relevant laboratory findings included the following:

Hematocrit (Hct)  28%

Hemoglobin (Hgb)  9 g/dL

Iron  16 µg/dL

Bone marrow iron  Absent

Erythrocytes  Small and pale

Intraoral exam revealed the loss of enamel and dentin on the lingual surfaces of her maxillary teeth, exhibiting a concave surface e and a peripheral white line of enamel. The occlusal surfaces of her posterior teeth are badly carious.

Suggested treatment included ferrous sulfate or ferrous gluconate for six months orally between meals. A well-balanced diet was also suggested, as well as a gynecological and psychiatric examination.

 What is/are the primary disorder/s of this patient?  Can you explain your findings?

 Why is bone marrow iron an important clinical indicator in this individual?

 Why is the gynecological examination important?

 What does the ferrous sulfate or ferrous gluconate provide? Why is it necessary? What precautions should be taken when taking this medication?

I need this data for my school project!

Thank you!