Primary polydipsia symptoms, such as delusions involving fluid intake or other unusual behaviours. Primary polydipsia may have physiological causes, such as autoimmune hepatitis. Since primary polydipsia is a diagnosis of exclusion, the diagnosis may be made for patients who have medically unexplained excessive thirst, and this is sometimes incorrectly referred to as "psychogenic" rather than "primary" polydipsia. As a diagnosis of exclusion, a diagnosis of primary polydipsia may be the result of elimination of the possibility of diseases causing similar signs and symptoms, such as diabetes insipidus. Diagnosis may be complicated by the fact that chronic and extreme compulsive drinking may impair
Osteopathic medicine in the United States closer to mainstream medicine, adopting modern public health and biomedical principles. American "osteopaths" became "osteopathic medical doctors", ultimately achieving full practice rights as medical doctors in all 50 states, including serving in the United States Armed Forces as physicians. In modern medicine, any distinction between the MD and the DO professions has eroded steadily. Diminishing numbers of DO graduates enter primary care fields, fewer use osteopathic manipulative treatment (OMT), and increasing numbers of osteopathic graduates choose to train in non-osteopathic residency programs. An osteopathic physician (DO) is a fully licensed, patient-centered physician. DO has full medical practice rights throughout the