Ronald Rubin, MD

Articles

Middle-aged Woman With Recurrent Chest Pain

November 01, 2005

Five days ago, a 46-year-old woman experienced dull, aching retrosternal pain that radiated toward the left shoulder. The pain was accompanied by diaphoresis and did not abate; she was hospitalized.

Asymptomatic Leukocytosis in an Elderly Man

November 01, 2005

An 81-year-old man is seen for follow-up of leukocytosis detected during a recent hospitalization for community-acquired pneumonia. The leukocytosis had not resolved by the time he was discharged.

Middle-Aged Man With Fatigue, Sexual Dysfunction, and Joint Pain

September 01, 2005

A 55-year-old man complains of fatigue. Although he sleeps 8 hours every night, he has to push himself to perform his usual daily activities. He has also experienced loss of libido and episodic impotence, which he ascribes to the fatigue.

Hyperkalemia in a Woman With Congestive Heart Failure

June 01, 2005

Congestive heart failure (CHF) was recently diagnosed in a 71-year-old woman whose ejection fraction was 30%. The following CHF regimen was prescribed: metoprolol, 25 mg/d; digoxin, 0.25 mg/d; hydrochlorothiazide, 50 mg/d; enalapril, 5 mg/d; and spironolactone, 25 mg/d. A low-salt diet was also recommended.