Normal physical examination usually cannot detect AIDS, and AIDS virus testing is required to confirm the diagnosis. AIDS virus detection mainly includes AIDS virus antibody detection, AIDS virus nucleic acid detection and other methods.

Routine physical examination items generally include blood routine examination, urine routine examination, liver function examination, kidney function examination, blood sugar examination, blood lipid examination and other basic examinations, which cannot directly detect AIDS virus. Some abnormal indicators may be found during physical examination, such as abnormal lymphocyte count, but these indicators may be caused by a variety of reasons, which cannot be used as the basis for diagnosis of AIDS. If abnormal immune function or other suspicious symptoms are found in the physical examination, the doctor may suggest further special examination for AIDS.

AIDS virus detection requires special detection methods and reagents, including ELISA, immunofluorescence test, Western blot test, etc. These tests are usually not within the scope of routine physical examinations, and it is necessary to proactively request testing from a doctor. Some medical institutions provide AIDS voluntary counseling and testing services, and the testing process is strictly confidential. False negative results may occur during the window period of testing, and retesting should be conducted at intervals after high-risk behaviors.

It is recommended that people with high-risk behaviors or suspected exposure risks take the initiative to carry out special AIDS testing, and do not rely on routine physical examination. In daily life, we should pay attention to safe sex and avoid sharing syringes and other behaviors that may spread AIDS virus. If the test result is positive, one should promptly seek standardized treatment and follow-up management at a professional medical institution.
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