Primary polydipsia Alcoholism may cause physiological thirst since ethanol inhibits vasopressin, the hormone primarily responsible for water retention in osmoregulation. The following conditions should also be excluded: DI, cerebral salt wasting, pseudohyponatraemia caused by hyperlipidemia or hyperparaproteinemia, SIADH, mineralcorticoid deficiency, salt-wasting nephropathy, nephrotic syndrome, chronic heart failure and cirrhosis. Tobacco smoking is an often overlooked factor linked to hyponatremia, due to the ADH-releasing effect of nicotine, although this is usually limited to heavy smokers. One study suggested that around 70% of patients with self-induced polydipsia were tobacco smokers. Diagnostic tests for primary polydipsia usually involves the fluid deprivation test to exclude ADH
Patient check-in show them to their seat. This service can often be offered by volunteer staff. Complexity - The first thought is to have a kiosk that will make patients verify their personal information, update their medical history, check their insurance, take their co-pay, print a receipt. sign a waiver and then ask what symptoms they are having. All before they get to see anyone in the office. While these are great ideas consider the downsides of a complicated kiosk. Integration with other systems means cost and tech staff. How long will it take for a patient who has never seen the