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.
Offering both indoor and outdoor seating, this Kona Brewing Company pub is a very popular meeting spot. Situated on a 2,000 square foot lanai, the outdoor seating is set in the midst of a mini forest of lush tropical vegetation and a smattering of tiki torches strategically located around the area.