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.
Kona Intl at Keahole, Big Island (KOA):Location: 13 km/8 Miles NNW of Kailua-Kona on the W coast of the Big Island of Hawaii.Airport Overview: 2 terminals close together (in fact almost inseparable), and and separate International Arrivals buillding a short distance to the North.