(Ruthie derived from ruthless, and the name Ruth which is phonetically a cunty sounding name) An individual, usually of the upper class and female, who is seemingly unaware of their above-average cuntiness. This individual tends to exhibit behavior which is similar to that of a sociopath. They are socially linked to "urban" new money and lesser socialite circles.

when u get a girl pregnant then blame it on ur dirty cousin.

Antiarrhythmic Lidocaine

A woman who thinks she is better than anyone else Ruthless and conceited and looking to cause drama with others

“Aunt Ruthy”; adj., description;
If you are to describe someone as an “Aunt Ruthie”, you are describing a person who complains about the state of their own physical health, a hypochondriac and gives you descriptions, that are quite repugnant, of their inexhaustible lists of ailments, and the disgusting attributes associated with them.