Free preview

Phencyclidine (PCP) intoxication

Overview and clinical definition are open. Full Step 1 details unlock with a plan.

For the why behind the fact

Use this page to connect what you are memorizing.

Start with the overview when a class slide, Anki card, or qbank explanation feels too thin. Then use presentation and workup to recognize the condition, and differentials to separate look-alikes.

Overview


Plain-Language Overview

Phencyclidine (PCP) intoxication is a condition caused by the use of a powerful recreational drug that affects the brain and nervous system. This drug can cause a range of effects including hallucinations, confusion, and violent behavior. It interferes with normal brain communication, leading to changes in perception, mood, and movement. People under the influence may experience numbness, loss of coordination, and sometimes dangerous agitation. The condition can also affect the heart and breathing, making it a serious health concern.

Clinical Definition

Phencyclidine (PCP) intoxication is a toxic state resulting from the ingestion or inhalation of PCP, a dissociative anesthetic that acts primarily as an NMDA receptor antagonist in the central nervous system. This blockade disrupts normal glutamatergic neurotransmission, leading to psychotomimetic effects such as hallucinations, delirium, and agitation. The condition is characterized by a combination of neurologic, psychiatric, and autonomic symptoms, including nystagmus, hypertension, tachycardia, and muscle rigidity. PCP intoxication can cause severe neurotoxicity and may result in seizures, hyperthermia, and rhabdomyolysis. It is a medical emergency due to the risk of violent behavior and life-threatening complications.

Clinical Presentation


Diagnostic Workup


Pathophysiology


Treatments


Prevention


Outcome & Complications


Differential Diagnoses