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Medical Definition of Waxy cast
1. A form of urinary cast consisting of homogeneous proteinaceous material that has a high refractive index, in contrast to the low refractive index of hyaline cast's; waxy cast's probably represent an advanced stage of the disintegrative process that results in coarsely and finely granular cast's, and are usually indicative of oliguria or anuria. (05 Mar 2000)