Malignancy is one of the most common causes and must be excluded. Hyperparathyroidism and other causes of hypercalcemia can coexist with malignancy. If calcium levels have been mildly elevated for months or years, malignancy is an unlikely cause. Hypercalcemia from malignancy usually is rapidly progressive; thus, rapidly rising calcium levels should increase suspicion of malignancy.
Kailua-Kona on Hawaiiâs Big Island is the site of Kona Brewing Companyâs brewery and first restaurant. The brewpub opened in November 1998. Prominently featured ohia wood found throughout the pub came from South Kona.
As well as great food, the pub offers a selection of fresh draft beers that aren t available elsewhere. With an ambience that is warm and welcoming, the Kona Brewery Company restaurant is open from 11.00am to 10.00pm from Sunday through to Thursday and from 11.00am until 11.00pm on Fridays and Saturdays.