Mander Enthesis Index (MEI) in Ankylosing Spondylitis

Purpose: To evaluate a patient with ankylosing spondylitis using the Mander Enthesis Index (MEI).

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Evaluation

Are you evaluating a patient with ankylosing spondylitis?

Yes

Select an appropriate answer for pain and/or tenderness at each site

Manubriosternal joint

Maximum for all costochondral junctions

Maximum for cervical spinous processes

Maximum for thoracic spinous processes

Maximum for lumbar spinous processes

Maximum for nuchal crests

Greater tuberosity of the left humerus

Lateral epicondyle at the left elbow

Medial epiconhdyle at the left elbow

Left iliac crest

Left anterior superior iliac spine

Left posterior superior iliac spine

Left ischial tuberosity

Greater trochanter of the left femur

Lateral condyle of the left femur

Medial condyle of the left femur

Achilles tendon at the left calcaneus

Plantar fasciar at the left calcaneus

Greater tuberosity of the right humerus

Lateral epicondyle at the right elbow

Medial epiconhdyle at the right elbow

Right iliac crest

Right anterior superior iliac spine

Right posterior superior iliac spine

Right ischial tuberosity

Greater trochanter of the right femur

Lateral condyle of the right femur

Medial condyle of the right femur

Achilles tendon at the right calcaneus

Plantar fasciar at the right calcaneus

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

Number of sites with severe tenderness

Number of sites with moderate tenderness

Number of sites with mild tenderness

Number of sites with no tenderness

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Anklyosing Spondylitis & Axial Spondyloarthritis | Risk Factors for Radiographic Progression
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
Laboratory Tests
Other Testing
- Modified Schober Index of Macrae and Wright for Measuring Back Flexion
- Ankylosing Spondylitis Disease Activity Score
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags
- Screening Questionnaire for Ankylosing Spondylitis

Monitoring

Response To Therapy
Disease Progression
Comorbid Conditions
- Clinical Features of Arthritis with Ulcerative Colitis
- Inflammatory Back Pain with Chronic Back Pain | ASAS Criteria

Specialty

Immunology/Rheumatology

Objective

laboratory tests
criteria for diagnosis

ICD-10

M45 - Ankylosing spondylitis
M08.1 - Juvenile ankylosing spondylitis

Info

Purpose: To evaluate a patient with ankylosing spondylitis using the Mander Enthesis Index (MEI).

Specialty: Immunology/Rheumatology

Objective: laboratory tests, criteria for diagnosis

ICD-10: M45, M08.1,

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