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.
Beer Can Island. Located on the northern tip of Longboat Key, this undeveloped white sand beach is a popular hangout for locals. Nearly everyone comes by boat, but you can walk here in low tide. SCAT Bus stop at nearby Gulf of Mexico Drive & Broadway St. on Route 18 or 18S. Also serviced by the Longboat Key Trolley.