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.
Monthly average Kona weather: temperature, rainfall and cloud cover. The average temperatures in Kona are between 70Â°F and 80Â°F (21 and 27Â°c). August is the warmest month, and January the coolest. However, and especially for those visitors from the US mainland, temperatures here are always pleasant. Monthly air temperature in downtown Kona on the Big Island of Hawaii.