Bacterial endotoxins cause fever and disease. There are three main types of endotoxin tests: gel clot, turbidometric, and chromogenic. The gel clot test detects endotoxins by observing gel formation. Turbidometric testing measures turbidity development and chromogenic uses a synthetic peptide to create color change indicating the presence of endotoxins. Proper endotoxin testing requires establishing lysate sensitivity, calculating maximum valid dilution, and including positive and negative controls to confirm accurate results.