Q. A 54-year-old female patient presented to the medical outpatient department complaining of generalized weakness and fatigue. Her past medical history is significant for hypertension and osteoporosis.
On physical examination, she is pale and lethargic. Her blood pressure is 140/90 mm Hg, pulse is 72 beats per minute, and her respiratory rate is 20 breaths per minute. Laboratory results reveal elevated serum calcium and parathyroid hormone levels. In addition, imaging studies show a single parathyroid adenoma.
What is the most appropriate management strategy?