Appears agitated and purposeful; repeatedly attempts to climb out of bed. Calls staff "gabar," requests her dirac. Does not appear frightened. High fall risk — bed alarm activated. Son present at bedside; requesting female provider for all assessment and care.

Neuro: Alert but disoriented to place and situation; oriented to person only. Unable to redirect verbally. No focal neurological deficits.
Cardiac: Tachycardic at 102 bpm, regular rhythm. No murmur. Peripheral pulses intact.
GU: Urine in brief — dark amber, cloudy, strong odor. Perineal assessment: altered external genitalia consistent with FGM/C — technique adapted.
Skin: Warm, dry. Mucous membranes slightly dry.
Pain: Denies verbally — reliability limited given altered mental status.