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.
Lake Koocanusa. Lake Koocanusa. Lake Koocanusa, created by Libby Dam, is a very large lake, stretching from Montana all the way back into Canada. Due to its isolated location in far northwest Montana, as well as the nearby proximity to Whitefish Lake and Flathead Lake, the lake only receives a fair amount of use for recreational boating.