A 60-year-old previously healthy man sees his physician because he feels feverish and weak. He reports passing dark-colored urine on several occasions during the past month but has no urinary frequency, dysuria, or nocturia. On physical examination, his temperature is 37.8 and blood pressure is 125/85 mmHg. A °C dipstick urinalysis shows 4+hematuria, 1+ proteinuria, and no glucose or ketones. Which of the following procedures is the most appropriate in management of this patient?
A.
Straining of urine for calculi
B.
Urine microbiologic culture
C.
Abdominal CT scan for renal mass
D.
Collection of a 24-hour urine specimen for protein
E.
Percutaneous renal biopsy