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Physical examination As part of the physical examination, it is necessary to pay attention to the clinical manifestations characteristic of HIV infection and signs indicating past or existing secondary diseases. When conducting a physical examination of all patients in order to diagnose HIV infection, determine its stage, the presence of secondary diseases, opportunistic infections, and identify complications [3,5, 25] (1C): assess the general condition, paying attention to changes in body weight, physique (presence of signs of lipodystrophy); a complete examination of the skin and mucous membranes of the whole body, including the perianal and inguinal regions, pay attention to the presence of jaundice of the skin and mucous membranes, elements of a rash of herpes zoster (fresh or traces of previously transferred episodes), seborrheic dermatitis, fungal lesions, elements of Kaposi's sarcoma, chancriform elements, papillomas, warts, traces of injections in injecting drug users. assess the neurological and mental status, paying attention to: symptoms of neuropathy, visual impairment, clarity of consciousness, adequacy of answers to questions, the presence of delusional ideas, the pace of mental processes (inhibition or acceleration), the presence of mood disorders (complaints of depression, apathy, indifference, fatigue, irritability), the presence of suicidal thoughts, impaired memory and attention, motor awkwardness.

Laboratory diagnostic studies HIV testing should be voluntary and based on the following principles: 1. Informed consent of the patient; 2. Confidentiality; 3. HIV counseling, incl.

before and after the test; 4. Ensuring the reliability of test results and the timeliness of submission to the clinician; 5. Cooperation with services for the provision of medical, social and psychological assistance; 6. Anonymity at the request of the patient. In order to establish a diagnosis of HIV infection, it is recommended to conduct a medical examination for the detection of HIV in full accordance with the algorithm presented in SP 3.1.5.2826-10 "Prevention of HIV infection", (see Chapters IV.

Procedure for testing for HIV infection of sanitary and epidemiological rules approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated 11.01.2011 No. 1, as well as Appendix 2 informed consent form) [26-31] (2A).

Comments: also in accordance with the order of the Ministry of Health of the Russian Federation of December 20, 2012 No.