Creatine (/ËkriËÉtiËn/ or /ËkriËÉtÉªn/) is a nitrogenous organic acid that occurs naturally in vertebrates and helps to supply energy to all cells in the body, primarily muscle. This is achieved by increasing the formation of adenosine triphosphate (ATP).
Condylomata lata are painless, soft, flat, pink lesions caused by secondary syphilis that may appear in the perianal region.7 The lesions often occur at the same time as the maculopapular rash of secondary syphilis, can produce a large amount of copious discharge, and are highly infectious.
The perineum is the region between the thighs inferior to the pelvic diaphragm. The boundaries of this region are the same as that for the pelvic outlet, namely the pubic symphysis, ischiopubic rami, sacrotuberous ligaments, and coccyx. The perineum has a roof formed by the pelvic diaphragm and a floor of fascia and skin.