Explain PFAPA and the management plan to parents — OSCE

Candidate instructions

Explain that PFAPA is a real, recognisable and ultimately self-resolving periodic fever syndrome — not a dangerous disease and not something the parents caused — outline why the inflammatory markers rise with attacks and fall between them, describe how a single dose of steroid aborts an attack, discuss when tonsillectomy might be considered and what the evidence shows, agree a fever diary and a safety-net of red-flag features that warrant urgent review, and check understanding. The examiner plays a parent. ^{[1] [2] [3]}