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 â The Fishing Capitol of Hawaii. While all of HawaiÊ»i offers outstanding fishing opportunities, the Kona District on the west side of the Big Island is arguably the best fishing location in the state. Although low in population density, the majority of the stateâs fishing charters depart from Kona. Deep-Sea Fishing.