Urinalysis · Pathology

Which type of urinary cast is most suggestive of severe renal stasis and chronic renal failure?

  1. Hyaline cast
  2. Fine granular cast
  3. Broad waxy cast
  4. Erythrocyte cast
Show answer and explanation

Correct answer: Broad waxy cast

Waxy casts represent the end stage of cast evolution and are formed during periods of extreme urine stasis. They have a high refractive index, blunt ends, and notches, and are typically associated with chronic renal failure.

Difficulty: Medium Question 6 of 20

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