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
Osteopathic medicine in Canada Surgeons. This is a summary of the licensing requirements of osteopathic physicians in Canada: The Canadian Osteopathic Association started the Canadian Osteopathic Medical Student Association in 2011. Osteopathic medicine in Canada Osteopathic medicine in Canada is similar to conventional medicine in Canada, with the addition of osteopathic manipulation to diagnose and treat patients. Osteopathic physicians hold equal practice rights to non-osteopathic physicians (MDs) in Canada. North American osteopathic medicine requires an osteopathic physician to be trained and receive the Doctor of Osteopathic Medicine degree granted by a College of Osteopathic Medicine accredited by the American Osteopathic Association. The Canadian Osteopathic