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Ferri's Best Test - 3rd Edition - ISBN: 9781455745999, 9780323314206

Ferri's Best Test

3rd Edition

A Practical Guide to Clinical Laboratory Medicine and Diagnostic Imaging

Authors: Fred Ferri
eBook ISBN: 9780323314206
eBook ISBN: 9780323340908
eBook ISBN: 9781455745982
Imprint: Saunders
Published Date: 21st April 2014
Page Count: 432

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Table of Contents

SECTION I Diagnostic imaging

A. Abdominal and Gastrointestinal (GI) imaging

1. Abdominal film, plain (kidney, ureter, and bladder [KUB])
2. Barium enema (BE)
3. Barium swallow (esophagram)
4. Upper GI (UGI) series
5. Computed tomographic colonography (CTC, virtual colonoscopy)
6. CT scan of abdomen and pelvis
7. Magnetic resonance enterography (MRE)
8. Hepatobiliary iminodiacetic acid (HIDA) scan
9. Endoscopic retrograde cholangiopancreatography (ERCP)
10. Percutaneous biliary procedures
11. Magnetic resonance cholangiopancreatography (MRCP)
12. Meckel scan (TC-99m pertechnetate scintigraphy)
13. MRI scan of abdomen
14. Small-bowel series
15. TC-99m sulfur colloid (TC-99m SC) scintigraphy for GI bleeding
16. TC-99m-labeled red blood cell (RBC) scintigraphy for GI bleeding
17. Ultrasound of abdomen
18. Ultrasound of appendix
19. Ultrasound of gallbladder and bile ducts
20. Ultrasound of liver
21. Ultrasound of pancreas
22. Endoscopic ultrasound (EUS)
23. Video capsule endoscopy (VCE)

B. Breast imaging

1. Mammogram
2. Breast ultrasound
3. MRI of the breast

C. Cardiac imaging

1. Stress echocardiography
2. Cardiovascular radionuclide imaging (thallium, sestamibi, dipyridamole [Persantine] scan)
3. Cardiac MRI (CMR)
4. Multidetector CT scan
5. Transesophageal echocardiogram (TEE)
6. Transthoracic echocardiography (TTE)

7. Intravascular ultrasound (IVUS)

D. Chest imaging

1. Chest radiograph
2. CT scan of chest
3. MRI scan of chest

E. Endocrine imaging

1. Adrenal medullary scintigraphy (metaiodobenzylguanidine [MIBG] scan)
2. Parathyroid (PTH) scan
3. Thyroid scan (radioiodine uptake study)
4. Thyroid ultrasound

F. Genitourinary imaging

1. Obstetric ultrasound
2. Pelvic ultrasound
3. Prostate ultrasound
4. Renal ultrasound
5. Scrotal ultrasound
6. Transvaginal (endovaginal) ultrasound
7. Urinary bladder ultrasound
8. Hysterosalpingography (HSG)
9. Intravenous pyelography (IVP) and retrograde pyelography

G. Musculoskeletal and spinal cord imaging

1. Plain x-ray films of skeletal system
2. Bone densitometry (dual-energy x-ray absorptiometry [DEXA] scan)
3. MRI scan of spine
4. MRI scan of shoulder
5. MRI scan of hip and extremities
6. MRI scan of pelvis
7. MRI scan of knee
8. CT scan of spinal cord
9. Arthrography
10. CT myelography
11. Nuclear imaging (bone scan, gallium scan, white blood cell [WBC] scan)

H. Neuroimaging of brain

1. CT scan of brain
2. MRI scan of brain

I. Positron emission tomography (PET)

J. Single-photon emission computed tomography (SPECT)

K. Vascular imaging

1. Angiography
2. Aorta ultrasound
3. Arterial ultrasound
4. Captopril renal scan (CRS)
5. Carotid ultrasonography
6. Computed tomographic angiography (CTA)
7. Magnetic resonance angiography (MRA)
8. Magnetic resonance direct thrombus imaging (MRDTI)
9. Pulmonary angiography
10. Transcranial Doppler
11. Venography
12. Compression ultrasonography and venous Doppler ultrasound
13. Ventilation/perfusion (V/Q) lung scan

L. Oncology

1. Whole-body integrated (dual-modality) PET-CT
2. Whole-body MRI

SECTION II Laboratory values and interpretation of results

ACE level

Acetone (serum or plasma)

Acetylcholine receptor (AChR) antibody

Acid phosphatase (serum)

Acid serum test

Activated clotting time (ACT)

Activated partial thromboplastin time (aPTT)

Adrenocorticotropic hormone (ACTH)

Alanine aminopeptidase

Alanine aminotransferase (ALT, formerly serum glutamic-pyruvic transaminase [SGPT])

Albumin (serum)

Alcohol dehydrogenase

Aldolase (serum)

Aldosterone (plasma)

Alkaline phosphatase (serum)

Alpha-1-antitrypsin (serum)

Alpha-1-fetoprotein (serum)


Aluminum (serum)


Amebiasis serological test

Aminolevulinic acid (d-ALA) (24-hour urine collection)

Ammonia (serum)

Amylase (serum)

Amylase, urine

Amyloid A protein (serum)



Androstenedione (serum)

Angiotensin II

Angiotensin-converting enzyme (ACE) level


Anion gap

Anticardiolipin antibody (ACA)


Antidiuretic hormone


Anti-ds DNA

Anti-globin test, direct

Antiglomerular basement antibody



Antimitochondrial antibody (AMA)

Antineutrophil cytoplasmic antibody (ANCA)

Antinuclear antibody (ANA)

Antiphospholipid antibody

Anti-RNP antibody


Anti-Smith (anti-Sm) antibody

Anti-Smooth muscle antibody

Antistreptolysin O titer (streptozyme, ASLO titer)

Antithrombin III

Apolipoprotein A-I (Apo A-I)

Apolipoprotein B (Apo B)

Arterial blood gases

Arthrocentesis fluid

ASLO titer

Aspartate aminotransferase (AST, serum glutamic oxalocetic transaminase[SGOT])

Atrial natriuretic hormone (ANH)

Basophil count


Bile acid breath test

Bile, urine

Bilirubin, direct (conjugated bilirubin)

Bilirubin, indirect (unconjugated bilirubin)

Bilirubin, total

Bilirubin, urine

Bladder tumor–associated antigen

Bleeding time (modified IVY method)

Blood volume, total

Bordetella pertussis serology


Breath hydrogen test

B-type natriuretic peptide (BNP)




CA 15-3

CA 27-29

CA 72-4

CA 125

Calcitonin (serum)

Calcium (serum)

Calcium, urine

Cancer antigen 15-3 (CA 15-3)

Cancer antigen 27-29 (CA 27-29)

Cancer antigen 72-4 (CA 72-4)

Cancer antigen 125 (CA-125)

Captopril stimulation test

Carbamazepine (Tegretol)

Carbohydrate antigen 19-9

Carbon dioxide, partial pressure

Carbon monoxide

Carboxyhemoglobin (COHb)

Cardiac markers (serum)

Cardiac troponins

Carcinoembryonic antigen (CEA)


Carotene (serum)

Catecholamines, urine




CD4 T-lymphocyte count (CD4 T-cells)

CD40 ligand


Cerebrospinal fluid (CSF)

Ceruloplasmin (serum)

Chlamydia group antibody serologic test

Chlamydia trachomatis polymerase chain reaction (PCR)

Chloride (serum)

Chloride (sweat)

Chloride, urine

Cholecystokinin-pancreozymin (CCK, CCK-PZ)

Cholesterol, low-density lipoprotein

Cholesterol, high-density lipoprotein

Cholesterol, total

Chorionic gonadotropin (hCG), human (serum)


Circulating anticoagulant (antiphospholipid antibody, lupus anticoagulant)


Clonidine suppression test

Clostridium difficile toxin assay (stool)


Coagulation factors

Cold agglutinins titer

Complement (C3, C4)

Complete blood cell (CBC) count

Conjugated bilirubin

Coombs, direct (antiglobulin test, direct, DAT)

Coombs, indirect

Copper (serum)

Copper, urine

Corticotropin-releasing hormone (CRH) stimulation test

Cortisol (plasma)



C-reactive protein (CRP)

Creatinine clearance

Creatinine kinase (CK), creatine phosphokinase (CPK)

Creatinine kinase isoenzymes




Creatinine (serum)

Creatinine, urine

Cryoglobulins (serum)

Cryptosporidium antigen by enzyme immunoassay (EIA) (stool)


Cystatin C

Cystic fibrosis polymerase chain reaction (PCR)

Cytomegalovirus by  polymerase chain reaction (PCR)


Dehydroepiandrosterone sulfate

Deoxycorticosterone (11-deoxycorticosterone, DOC), serum

Dexamethasone suppression test, overnight

Dihydrotestosterone, serum, urine

Disaccharide absorption tests


Donath-Landsteiner (D-L) test for paroxysmal cold hemoglobinuria

Digoxin (lanoxin)



d-Xylose absorption test

Electrolytes, urine

Electrophoresis, hemoglobin

Electrophoresis, protein

ENA complex

Endomysial antibodies

Eosinophil count

Epinephrine, plasma

Epstein-Barr virus (EBV) serology

Erythrocyte sedimentation rate (ESR) (Westergren)

Erythropoietin (EP)

Estradiol (serum)

Estrogens, total

Ethanol (blood)

Extractable nuclear antigen (ENA complex, anti-RNP antibody, anti-SM, anti-Smith)

Factor V leiden


Fecal FAT, qualitative

Fecal FAT, quantitative (72-hour collection)

Fecal globin immunochemical test

Ferritin (serum)

Fibrin degradation products (FDP)


Fluorescent treponemal antibody

Folate (folic acid)

Follicle-stimulating hormone (FSH)

Free T4

Free thyroxine index


FTA-ABS (serum)

Furosemide stimulation test

Gamma-glutamyl transferase (GGT)

Gastrin (serum)

Gastrin stimulation test

Gliadin antibodies, immunoglobulin (Ig) A and IgG

Glomerular basement membrane antibody

Glomerular filtration rate (GFR)


Glucose, fasting

Glucose, postprandial

Glucose tolerance test

Glucose-6-phosphate dehydrogenase (G6PD) screen (blood)

ᵞ-Glutamyl transferase (GGT)

Glycated (glycosylated) hemoglobin (HbAIc)


Growth hormone

Growth hormone–releasing hormone (GHRH)

Growth hormone suppression test (after glucose)

HAM test (acid serum test)

Haptoglobin (serum)



Helicobacter pylori (serology, stool antigen)



Hemoglobin (Hb) electrophoresis

Hemoglobin, glycated

Hemoglobin, glycosylated

Hemoglobin H

Hemoglobin, urine

Hemosiderin, urine

Heparin-induced thrombocytopenia antibodies

Hepatitis A antibody

Hepatitis B core antibody

Hepatitis B DNA

Hepatitis Be antigen (HBeAg) and antibody

Hepatitis B surface antibody

Hepatitis B surface antigen (HBsAg)

Hepatitis C antibody (anti-HCV)

Hepatitis C RNA

Hepatitis D antigen and antibody


Herpes simplex virus (HSV)

Heterophil antibody

HFE screen for hereditary hemochromatosis

High-density lipoprotein (HDL) cholesterol

Homocysteine, plasma



Human Herpes Virus 8 (HHV8)

Human immunodeficiency virus antibody, type 1 (HIV-1)

Human papilloma virus (HPV)

Huntington’s disease polymerase chain reaction (PCR)

5-Hydroxyindole-acetic acid, urine

Immune complex assay

Immunoglobulin (Ig)

Influenza A and B tests


Insulin autoantibodies

Insulin, free

Insulin-like growth factor-I (IGF-1), serum

Insulin-like growth factor II

International normalized ratio (INR)

Intrinsic factor antibodies

Iron-binding capacity (total iron-binding capacity [TIBC])

Iron saturation (% transferrin saturation)

Iron, serum

Lactate (blood)

Lactate dehydrogenase (LDH)

Lactate dehydrogenase (LDH) isoenzymes

Lactose tolerance test (serum)


Lap score




Legionella pneumophila polymerase chain reaction (PCR)

Legionella titer

Leukocyte alkaline phosphatase (LAP)



Lipoprotein (A)

Lipoprotein cholesterol, low density

Lipoprotein cholesterol, high density

Liver kidney microsome type 1 (LKM1) antibodies

Low-density lipoprotein (LDL) cholesterol

Lupus anticoagulant (LA) test

Luteinizing hormone (LH), blood


Magnesium (serum)

Mean corpuscular volume (MCV)

Metanephrines, urine

Methylmalonic acid, serum

Mitochondrial antibody (antimitochondrial antibody [AMA])

Monocyte count

Mycoplasma pneumoniae PCR

Myelin basic protein, cerebrospinal fluid

Myoglobin, urine

Natriuretic peptide

Neisseria gonorrhoeae polymerase chain reaction (PCR)

Neutrophil count


5’ nucleotidase

Osmolality, serum

Osmolality, urine

Osmotic fragility test

Paracentesis fluid

Parathyroid hormone

Parietal cell antibodies

Partial thromboplastin time (PTT), activated partial thromboplastin time (aPTT)

Pepsinogen I


pH, blood


Phenytoin (Dilantin)

Phosphatase, acid

Phosphatase, alkaline

Phosphate (serum)

pH, urine


Platelet aggregation

Platelet antibodies

Platelet count

Platelet function analysis (PFA) 100 assay

Potassium (serum)

Potassium, urine


Progesterone, serum


Prostate-specific antigen (PSA)

Prostatic acid phosphatase

Protein (serum)

Protein C assay

Protein electrophoresis (serum)

Protein S assay

Prothrombin time (PT)

Protoporphyrin (free erythrocyte)





Red blood cell count

Red blood cell distribution width (RDW)

Red blood cell folate

Red blood cell mass (volume)

Renin (serum)

Respiratory syncytial virus (RSV) screen

Reticulocyte count

Rheumatoid factor


Rotavirus serology

Schilling test

Sedimentation rate

Semen analysis



Sickle cell test

Smooth muscle antibody

Sodium (serum)


Sucrose hemolysis test (sugar water test)

Sudan III stain (qualitative screening for fecal fat)

T3 (triiodothyronine)

T3 resin uptake (T3RU)

T4, Serum T4, and free (free thyroxine)

Serum free T4





Thoracentesis fluid

Thrombin time (TT)


Thyroid binding globulin (TBG)

Thyroid microsomal antibodies

Thyroid-stimulating hormone (TSH)

Thyrotropin (thyroid-stimulating hormone [TSH]) receptor antibodies

Thyrotropin-releasing hormone (TRH) stimulation test


Tissue transglutaminase antibody




Troponins, serum



Unconjugated bilirubin

Urea nitrogen

Uric acid (serum)


Urine amylase

Urine bile

Urine calcium

Urine cAMP

Urine catecholamines

Urine chloride

Urine copper

Urine cortisol, free

Urine creatinine (24-hour)

Urine crystals

Urine eosinophils

Urine glucose (qualitative)

Urine hemoglobin, free

Urine hemosiderin

Urine 5-hydroxyindole-acetic acid (urine 5-HIAA)

Urine indican

Urine ketones (semiquantitative)

Urine metanephrines

Urine myoglobin

Urine nitrite

Urine occult blood

Urine osmolality

Urine pH

Urine phosphate

Urine potassium

Urine protein (quantitative)

Urine sodium (quantitative)

Urine specific gravity

Urine vanillylmandelic acid (VMA)

Varicella-zoster virus (VZV) serologic testing

Vasoactive intestinal peptide (VIP)

Venereal disease research laboratories (VDRL)


Viscosity (serum)

Vitamin B12

Vitamin D, 1,25 dihydroxy calciferol, Vitamin D 25(OH)D (25- Hydroxyvitamin D)

Vitamin K

von Willebrand’s factor



White blood cell count

d-Xylose absorption

Section III Diseases and disorders

1. Abdominal abscess

2. Abdominal aortic aneurysm

3. Achalasia

4. Acid-base disorders

5. Acute kidney injury

6. Addison’s disease (Adrenal Insufficiency)

7. Adrenal mass

8. Alkaline phosphatase elevation

9. ALT/AST elevation

10. Amenorrhea, primary

11. Amenorrhea, secondary

12. Anemia, macrocytic

13. Anemia, microcytic

14. Antinuclear antibody (ANA)-positive

15. Aortic dissection

16. Appendicitis

17. Ascites

18. Avascular necrosis

19. Back pain, acute, lumbosacral (LS) area

20. Bilirubin elevation

21. Bleeding disorder, congenital

22. Brain abscess

23. Breast mass

24. Carcinoid syndrome

25. Cardiomegaly on chest radiograph

26. Cholangitis

27. Cholecystitis

28. Cholelithiasis

29. Complex regional pain syndrome (Reflex Sympathetic Dystrophy [RSD])

30. Constipation

31. Creatinine phosphokinase (CPK) elevation

32. Cushing’s syndrome

33. Deep vein thrombosis (DVT)

34. Delayed puberty

35. Delirium

36. Diarrhea

37. Disseminated intravascular coagulation (DIC)

38. Diverticulitis

39. Dyspepsia

40. Dyspnea

41. Dysuria

42. Ectopic pregnancy

43. Edema, lower extremity

44. Endocarditis, infective

45. Endometriosis

46. Epiglottitis

47. Fatigue

48. Fever of undetermined origin (FUO)

49. Galactorrhea

50. Genital lesions/ulcers

51. Goiter

52. Gynecomastia

53. Hearing loss

54. Hematuria

55. Hemochromatosis

56. Hemoptysis

57. Hepatomegaly

58. Hirsutism

59. Hyperaldosteronism

60. Hypercalcemia

61. Hyperkalemia

62. Hypermagnesemia

63. Hypernatremia

64. Hyperphosphatemia

65. Hyperthyroidism

66. Hypocalcemia

67. Hypoglycemia

68. Hypogonadism

69. Hypokalemia

70. Hypomagnesemia

71. Hyponatremia

72. Hypophosphatemia

73. Hypothyroidism

74. Infertility

75. Jaundice

76. Joint effusion

77. Liver function test elevations

78. Liver mass

79. Lymphadenopathy, generalized

80. Malabsorption, suspected

81. Meningioma

82. Mesenteric ischemia

83. Mesothelioma

84. Metabolic acidosis

85. Metabolic alkalosis

86. Microcytosis

87. Multiple myeloma

88. Multiple sclerosis

89. Myalgias

90. Muscle weakness

91. Neck mass

92. Neuropathy

93. Neutropenia

94. Osteomyelitis

95. Pancreatic mass

96. Pancreatitis, acute

97. Parapharyngeal abscess

98. Pelvic mass

99. Peripheral arterial disease (PAD)

100. Pheochromocytoma

101. Pituitary adenoma

102. Pleural effusion

103. Polyarteritis nodosa

104. Polycythemia

105. Portal vein thrombosis

106. Precocious puberty

107. Proteinuria

108. Pruritus, generalized

109. Pulmonary embolism

110. Pulmonary hypertension

111. Pulmonary nodule

112. Purpura

113. Renal artery stenosis

114. Renal mass

115. Rotator cuff tear

116. Sarcoidosis

117. Scrotal mass

118. Small-bowel obstruction

119. Spinal epidural abscess

120. Splenomegaly

121. Stroke

122. Subarachnoid hemorrhage

123. Subclavian steal syndrome

124. Subdural hematoma

125. Superior vena cava syndrome

126. Syncope

127. Testicular torsion

128. Thoracic outlet syndrome

129. Thrombocytopenia

130. Thrombocytosis

131. Thyroid nodule

132. Thyroiditis

133. Tinnitus

134. Transient ischemic attack (TIA)

135. Urethral discharge

136. Urolithiasis

137. Urticaria

138. Vaginal discharge

139. Vertigo

140. Viral hepatitis

141. Wegener’s granulomatosis

142. Weight gain

143. Weight loss, involuntary


For nearly 25 years, Ferri's concise, pocket-sized resources have served as the go-to medical reference books among students, residents, and other medical professionals. Ferri’s Best Test continues that trend, providing fast, effective, and efficient guidance and helping you review the most important laboratory and imaging testing information, with an added focus on cost-effective decision making.

Key Features

  • Quickly access important information with concise, well-organized guidance to the most common lab tests and diagnostic imaging modalities.
  • Simplify your decision-making process through analysis that describes the most common imaging studies for each organ system, reviewing their indications, advantages, disadvantages, and approximate costs.
  • Confidently address problematic situations with background data that examines over 384 laboratory tests, describing the normal range of results in adult patients, typical abnormalities (positive tests, increased or decreased values), and the likeliest causes.
  • Select the best test for diagnosing more than 200 common diseases and disorders.
  • Keep important information at your fingertips with this portable, pocket-sized format that allows for convenient consultation anytime, anywhere.


No. of pages:
© Saunders 2015
21st April 2014
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About the Authors

Fred Ferri

Dr. Ferri is a Clinical Professor of Community Health at the Alpert Medical School, Brown University and author of over 30 medical books. He has been the best selling medical author in the United States over the past 25 years and is also well known and respected internationally. He has been a visiting Professor at other medical schools and many of his books have been translated in several languages. In addition to his numerous publications, he has had a distinguished academic career at Brown University where he has received several awards for his dedication to teaching including the Brown University Excellence in Teaching award and Dean’s teaching Award, and with the American College of Physicians where he was inducted as a Fellow in the ACP and has been a recipient of the Irving Addison Beck Award from the Rhode Island Chapter of the American College of Physicians.

Affiliations and Expertise

Clinical Professor, The Warren Alpert Medical School, Brown University, Providence, Rhode Island