Clinical features

• facial telangiectasia
• vascular spiders
• abdominal wall veins
• white nails
• fatness
• peripheral oedema

Facial telangiectasia, vascular spiders, white nails and abdominal wall veins help diagnose cirrhosis

Patient	Target Disorder and Reference Standard	Diagnostic Test	LR+ (95% CI)	Post-test Probability	LR- (95% CI)	Post-test Probability
suspected cirrhosis a (pre-test probability: 27%)	cirrhosis (liver biopsy)	facial telangiectasia	20 (7.0 to 59)	88%	0.20 (0.11 to 0.36)	7%
		vascular spiders	6.1 (2.1 to 18)	69%	0.37 (0.34 to 0.65)	12%
		white nails	5.8 (1.5 to 22)	68%	0.78 (0.46 to 0.74)	22%
		abdominal wall veins	4.4 (0.9 to 21)	62%	0.77 (0.66 to 0.90)	18%
		fatness	2.9 (1.1 to 7.8)	52%	0.61 (0.42 to 0.90)	18%