Need Information - Concerned preschool teacher

Patient

Q: I am a preschool teacher. I have a female student age 4 who shakes constantly when making and type of fine or gross muscle movement. I have informed her mother. Her mother seemed clueless, but did state that she noticed the shaking since infancy, and referred to it as a motor starting up. I find this odd. I strongly advised her to consult her pediatrician. The child is also very weak, lacks muscle control, her lunches are lacking nutritionally, and she often speaks of helping her Dad (who is a pest control person) apply pesticides, and of not being able to sleep because mommy or Daddy is waking her.... What do you advise??????????????????

Doctor

A:   I do appreciate your concern regarding the health of your students. It is very difficult for me to say what could be causing your students movements. Hyperkinetic movements disorders in children are characterized by abnormal involuntary movement. Diagnosis of the specific condition depends primarily upon careful observation of the clinical features. Tics are the most common hyperkinetic disorder in children. Dystonia, stereotypies, choreoathetosis, tremors, and myoclonus also occur but are less common.
I would advise that you speak to both the parents regarding your concerns and advise that they take the child for further evaluation to a pediatrician. However in case they do not regard the symptoms as serious, you may consult your school board or an ethics committee as to the next step. I hope this helps.

Related Q&A

Q: I have a toddler that is very combative and agurementive. Everytime i we tell him to do something he stomps his feet ...

Q: My 2 year old granddaughter does not eat at mealtime. This has been going on for over 6 months. She eats at her day...

Q: My 14 month old granddaughter has a habit of sticking her tongue to the left of her mouth and I would like to know if...

Q: My 4 1/2 Daughter has been potty trained since she was 2 1/2 and now she has started to wet the bed?

Q: My daughter woke up in the middle of the night scratching herself and crying. I took her to my bed to calm her down ...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews