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.
Skyline Eco-Adventures â Akaka Falls, Big Island. 1  AKAKA FALLS, BIG ISLAND Skyline Akaka Falls was voted theâ¦. 2  Hand-drilled and blasted over a century ago out of solid rockâ¦. 3  Hundreds of vacation rentals nestled along the golden Kona Coastâ¦. 4  Aston Kona by the Sea is an intimate, relaxed condominiumâ¦. 5  Hawaii Island is a cornucopia of dining culture.