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User warning: mkdir(): Permission Denied in Drupal\Component\PhpStorage\FileStorage->createDirectory() (line 125 of core/lib/Drupal/Component/PhpStorage/FileStorage.php).
Drupal\Component\PhpStorage\FileStorage->createDirectory() (Line: 73) Drupal\Component\PhpStorage\FileStorage->ensureDirectory() (Line: 66) Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save() (Line: 116) Drupal\Core\Template\TwigPhpStorageCache->write() (Line: 410) Twig\Environment->loadTemplate() (Line: 370) Twig\Environment->load() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 242) Drupal\Core\Render\MainContent\HtmlRenderer->{closure:Drupal\Core\Render\MainContent\HtmlRenderer::prepare():235}() (Line: 634) Drupal\Core\Render\Renderer::{closure:Drupal\Core\Render\Renderer::executeInRenderContext():634}() Fiber->start() (Line: 635) Drupal\Core\Render\Renderer->executeInRenderContext() (Line: 235) Drupal\Core\Render\MainContent\HtmlRenderer->prepare() (Line: 131) Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse() (Line: 90) Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray() (Line: 246) Symfony\Component\EventDispatcher\EventDispatcher::{closure:Symfony\Component\EventDispatcher\EventDispatcher::optimizeListeners():241}() (Line: 206) Symfony\Component\EventDispatcher\EventDispatcher->callListeners() (Line: 56) Symfony\Component\EventDispatcher\EventDispatcher->dispatch() (Line: 188) Symfony\Component\HttpKernel\HttpKernel->handleRaw() (Line: 76) Symfony\Component\HttpKernel\HttpKernel->handle() (Line: 53) Drupal\Core\StackMiddleware\Session->handle() (Line: 48) Drupal\Core\StackMiddleware\KernelPreHandle->handle() (Line: 28) Drupal\Core\StackMiddleware\ContentLength->handle() (Line: 32) Drupal\big_pipe\StackMiddleware\ContentLength->handle() (Line: 203) Drupal\page_cache\StackMiddleware\PageCache->fetch() (Line: 140) Drupal\page_cache\StackMiddleware\PageCache->lookup() (Line: 89) Drupal\page_cache\StackMiddleware\PageCache->handle() (Line: 48) Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle() (Line: 51) Drupal\Core\StackMiddleware\NegotiationMiddleware->handle() (Line: 53) Drupal\Core\StackMiddleware\AjaxPageState->handle() (Line: 54) Drupal\Core\StackMiddleware\StackedHttpKernel->handle() (Line: 745) Drupal\Core\DrupalKernel->handle() (Line: 19)User warning: mkdir(): Permission Denied in Drupal\Component\PhpStorage\FileStorage->createDirectory() (line 125 of core/lib/Drupal/Component/PhpStorage/FileStorage.php).
Drupal\Component\PhpStorage\FileStorage->createDirectory() (Line: 73) Drupal\Component\PhpStorage\FileStorage->ensureDirectory() (Line: 66) Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save() (Line: 116) Drupal\Core\Template\TwigPhpStorageCache->write() (Line: 410) Twig\Environment->loadTemplate() (Line: 370) Twig\Environment->load() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 162) Drupal\Core\Render\MainContent\HtmlRenderer->{closure:Drupal\Core\Render\MainContent\HtmlRenderer::renderResponse():157}() (Line: 634) Drupal\Core\Render\Renderer::{closure:Drupal\Core\Render\Renderer::executeInRenderContext():634}() Fiber->start() (Line: 635) Drupal\Core\Render\Renderer->executeInRenderContext() (Line: 157) Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse() (Line: 90) Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray() (Line: 246) Symfony\Component\EventDispatcher\EventDispatcher::{closure:Symfony\Component\EventDispatcher\EventDispatcher::optimizeListeners():241}() (Line: 206) Symfony\Component\EventDispatcher\EventDispatcher->callListeners() (Line: 56) Symfony\Component\EventDispatcher\EventDispatcher->dispatch() (Line: 188) Symfony\Component\HttpKernel\HttpKernel->handleRaw() (Line: 76) Symfony\Component\HttpKernel\HttpKernel->handle() (Line: 53) Drupal\Core\StackMiddleware\Session->handle() (Line: 48) Drupal\Core\StackMiddleware\KernelPreHandle->handle() (Line: 28) Drupal\Core\StackMiddleware\ContentLength->handle() (Line: 32) Drupal\big_pipe\StackMiddleware\ContentLength->handle() (Line: 203) Drupal\page_cache\StackMiddleware\PageCache->fetch() (Line: 140) Drupal\page_cache\StackMiddleware\PageCache->lookup() (Line: 89) Drupal\page_cache\StackMiddleware\PageCache->handle() (Line: 48) Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle() (Line: 51) Drupal\Core\StackMiddleware\NegotiationMiddleware->handle() (Line: 53) Drupal\Core\StackMiddleware\AjaxPageState->handle() (Line: 54) Drupal\Core\StackMiddleware\StackedHttpKernel->handle() (Line: 745) Drupal\Core\DrupalKernel->handle() (Line: 19)User warning: mkdir(): Permission Denied in Drupal\Component\PhpStorage\FileStorage->createDirectory() (line 125 of core/lib/Drupal/Component/PhpStorage/FileStorage.php).
Drupal\Component\PhpStorage\FileStorage->createDirectory() (Line: 73) Drupal\Component\PhpStorage\FileStorage->ensureDirectory() (Line: 66) Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save() (Line: 116) Drupal\Core\Template\TwigPhpStorageCache->write() (Line: 410) Twig\Environment->loadTemplate() (Line: 370) Twig\Environment->load() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 96) __TwigTemplate_1542e28ecd23eb9f51b3cf19a0f0d78b->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 162) Drupal\Core\Render\MainContent\HtmlRenderer->{closure:Drupal\Core\Render\MainContent\HtmlRenderer::renderResponse():157}() (Line: 634) Drupal\Core\Render\Renderer::{closure:Drupal\Core\Render\Renderer::executeInRenderContext():634}() Fiber->start() (Line: 635) Drupal\Core\Render\Renderer->executeInRenderContext() (Line: 157) Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse() (Line: 90) Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray() (Line: 246) Symfony\Component\EventDispatcher\EventDispatcher::{closure:Symfony\Component\EventDispatcher\EventDispatcher::optimizeListeners():241}() (Line: 206) Symfony\Component\EventDispatcher\EventDispatcher->callListeners() (Line: 56) Symfony\Component\EventDispatcher\EventDispatcher->dispatch() (Line: 188) Symfony\Component\HttpKernel\HttpKernel->handleRaw() (Line: 76) Symfony\Component\HttpKernel\HttpKernel->handle() (Line: 53) Drupal\Core\StackMiddleware\Session->handle() (Line: 48) Drupal\Core\StackMiddleware\KernelPreHandle->handle() (Line: 28) Drupal\Core\StackMiddleware\ContentLength->handle() (Line: 32) Drupal\big_pipe\StackMiddleware\ContentLength->handle() (Line: 203) Drupal\page_cache\StackMiddleware\PageCache->fetch() (Line: 140) Drupal\page_cache\StackMiddleware\PageCache->lookup() (Line: 89) Drupal\page_cache\StackMiddleware\PageCache->handle() (Line: 48) Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle() (Line: 51) Drupal\Core\StackMiddleware\NegotiationMiddleware->handle() (Line: 53) Drupal\Core\StackMiddleware\AjaxPageState->handle() (Line: 54) Drupal\Core\StackMiddleware\StackedHttpKernel->handle() (Line: 745) Drupal\Core\DrupalKernel->handle() (Line: 19)User warning: mkdir(): Permission Denied in Drupal\Component\PhpStorage\FileStorage->createDirectory() (line 125 of core/lib/Drupal/Component/PhpStorage/FileStorage.php).
Drupal\Component\PhpStorage\FileStorage->createDirectory() (Line: 73) Drupal\Component\PhpStorage\FileStorage->ensureDirectory() (Line: 66) Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save() (Line: 116) Drupal\Core\Template\TwigPhpStorageCache->write() (Line: 410) Twig\Environment->loadTemplate() (Line: 370) Twig\Environment->load() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 556) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 77) __TwigTemplate_71870a835705e73bfa6156daf8f36212->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 96) __TwigTemplate_1542e28ecd23eb9f51b3cf19a0f0d78b->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 162) Drupal\Core\Render\MainContent\HtmlRenderer->{closure:Drupal\Core\Render\MainContent\HtmlRenderer::renderResponse():157}() (Line: 634) Drupal\Core\Render\Renderer::{closure:Drupal\Core\Render\Renderer::executeInRenderContext():634}() Fiber->start() (Line: 635) Drupal\Core\Render\Renderer->executeInRenderContext() (Line: 157) Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse() (Line: 90) Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray() (Line: 246) Symfony\Component\EventDispatcher\EventDispatcher::{closure:Symfony\Component\EventDispatcher\EventDispatcher::optimizeListeners():241}() (Line: 206) Symfony\Component\EventDispatcher\EventDispatcher->callListeners() (Line: 56) Symfony\Component\EventDispatcher\EventDispatcher->dispatch() (Line: 188) Symfony\Component\HttpKernel\HttpKernel->handleRaw() (Line: 76) Symfony\Component\HttpKernel\HttpKernel->handle() (Line: 53) Drupal\Core\StackMiddleware\Session->handle() (Line: 48) Drupal\Core\StackMiddleware\KernelPreHandle->handle() (Line: 28) Drupal\Core\StackMiddleware\ContentLength->handle() (Line: 32) Drupal\big_pipe\StackMiddleware\ContentLength->handle() (Line: 203) Drupal\page_cache\StackMiddleware\PageCache->fetch() (Line: 140) Drupal\page_cache\StackMiddleware\PageCache->lookup() (Line: 89) Drupal\page_cache\StackMiddleware\PageCache->handle() (Line: 48) Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle() (Line: 51) Drupal\Core\StackMiddleware\NegotiationMiddleware->handle() (Line: 53) Drupal\Core\StackMiddleware\AjaxPageState->handle() (Line: 54) Drupal\Core\StackMiddleware\StackedHttpKernel->handle() (Line: 745) Drupal\Core\DrupalKernel->handle() (Line: 19)User warning: mkdir(): Permission Denied in Drupal\Component\PhpStorage\FileStorage->createDirectory() (line 125 of core/lib/Drupal/Component/PhpStorage/FileStorage.php).
Drupal\Component\PhpStorage\FileStorage->createDirectory() (Line: 73) Drupal\Component\PhpStorage\FileStorage->ensureDirectory() (Line: 66) Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save() (Line: 116) Drupal\Core\Template\TwigPhpStorageCache->write() (Line: 410) Twig\Environment->loadTemplate() (Line: 370) Twig\Environment->load() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 513) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 166) __TwigTemplate_71870a835705e73bfa6156daf8f36212->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 96) __TwigTemplate_1542e28ecd23eb9f51b3cf19a0f0d78b->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 162) Drupal\Core\Render\MainContent\HtmlRenderer->{closure:Drupal\Core\Render\MainContent\HtmlRenderer::renderResponse():157}() (Line: 634) Drupal\Core\Render\Renderer::{closure:Drupal\Core\Render\Renderer::executeInRenderContext():634}() Fiber->start() (Line: 635) Drupal\Core\Render\Renderer->executeInRenderContext() (Line: 157) Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse() (Line: 90) Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray() (Line: 246) Symfony\Component\EventDispatcher\EventDispatcher::{closure:Symfony\Component\EventDispatcher\EventDispatcher::optimizeListeners():241}() (Line: 206) Symfony\Component\EventDispatcher\EventDispatcher->callListeners() (Line: 56) Symfony\Component\EventDispatcher\EventDispatcher->dispatch() (Line: 188) Symfony\Component\HttpKernel\HttpKernel->handleRaw() (Line: 76) Symfony\Component\HttpKernel\HttpKernel->handle() (Line: 53) Drupal\Core\StackMiddleware\Session->handle() (Line: 48) Drupal\Core\StackMiddleware\KernelPreHandle->handle() (Line: 28) Drupal\Core\StackMiddleware\ContentLength->handle() (Line: 32) Drupal\big_pipe\StackMiddleware\ContentLength->handle() (Line: 203) Drupal\page_cache\StackMiddleware\PageCache->fetch() (Line: 140) Drupal\page_cache\StackMiddleware\PageCache->lookup() (Line: 89) Drupal\page_cache\StackMiddleware\PageCache->handle() (Line: 48) Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle() (Line: 51) Drupal\Core\StackMiddleware\NegotiationMiddleware->handle() (Line: 53) Drupal\Core\StackMiddleware\AjaxPageState->handle() (Line: 54) Drupal\Core\StackMiddleware\StackedHttpKernel->handle() (Line: 745) Drupal\Core\DrupalKernel->handle() (Line: 19)User warning: mkdir(): Permission Denied in Drupal\Component\PhpStorage\FileStorage->createDirectory() (line 125 of core/lib/Drupal/Component/PhpStorage/FileStorage.php).
Drupal\Component\PhpStorage\FileStorage->createDirectory() (Line: 73) Drupal\Component\PhpStorage\FileStorage->ensureDirectory() (Line: 66) Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save() (Line: 116) Drupal\Core\Template\TwigPhpStorageCache->write() (Line: 410) Twig\Environment->loadTemplate() (Line: 370) Twig\Environment->load() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 139) __TwigTemplate_033accae3f1ee663fc609d06659d9dce->block_content() (Line: 446) Twig\Template->yieldBlock() (Line: 115) __TwigTemplate_033accae3f1ee663fc609d06659d9dce->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 513) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 166) __TwigTemplate_71870a835705e73bfa6156daf8f36212->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 96) __TwigTemplate_1542e28ecd23eb9f51b3cf19a0f0d78b->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 162) Drupal\Core\Render\MainContent\HtmlRenderer->{closure:Drupal\Core\Render\MainContent\HtmlRenderer::renderResponse():157}() (Line: 634) Drupal\Core\Render\Renderer::{closure:Drupal\Core\Render\Renderer::executeInRenderContext():634}() Fiber->start() (Line: 635) Drupal\Core\Render\Renderer->executeInRenderContext() (Line: 157) Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse() (Line: 90) Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray() (Line: 246) Symfony\Component\EventDispatcher\EventDispatcher::{closure:Symfony\Component\EventDispatcher\EventDispatcher::optimizeListeners():241}() (Line: 206) Symfony\Component\EventDispatcher\EventDispatcher->callListeners() (Line: 56) Symfony\Component\EventDispatcher\EventDispatcher->dispatch() (Line: 188) Symfony\Component\HttpKernel\HttpKernel->handleRaw() (Line: 76) Symfony\Component\HttpKernel\HttpKernel->handle() (Line: 53) Drupal\Core\StackMiddleware\Session->handle() (Line: 48) Drupal\Core\StackMiddleware\KernelPreHandle->handle() (Line: 28) Drupal\Core\StackMiddleware\ContentLength->handle() (Line: 32) Drupal\big_pipe\StackMiddleware\ContentLength->handle() (Line: 203) Drupal\page_cache\StackMiddleware\PageCache->fetch() (Line: 140) Drupal\page_cache\StackMiddleware\PageCache->lookup() (Line: 89) Drupal\page_cache\StackMiddleware\PageCache->handle() (Line: 48) Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle() (Line: 51) Drupal\Core\StackMiddleware\NegotiationMiddleware->handle() (Line: 53) Drupal\Core\StackMiddleware\AjaxPageState->handle() (Line: 54) Drupal\Core\StackMiddleware\StackedHttpKernel->handle() (Line: 745) Drupal\Core\DrupalKernel->handle() (Line: 19)User warning: mkdir(): Permission Denied in Drupal\Component\PhpStorage\FileStorage->createDirectory() (line 125 of core/lib/Drupal/Component/PhpStorage/FileStorage.php).
Drupal\Component\PhpStorage\FileStorage->createDirectory() (Line: 73) Drupal\Component\PhpStorage\FileStorage->ensureDirectory() (Line: 66) Drupal\Component\PhpStorage\MTimeProtectedFastFileStorage->save() (Line: 116) Drupal\Core\Template\TwigPhpStorageCache->write() (Line: 410) Twig\Environment->loadTemplate() (Line: 370) Twig\Environment->load() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 556) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 501) Drupal\Core\Template\TwigExtension->escapeFilter() (Line: 96) __TwigTemplate_1542e28ecd23eb9f51b3cf19a0f0d78b->doDisplay() (Line: 402) Twig\Template->yield() (Line: 386) Twig\Template->render() (Line: 51) Twig\TemplateWrapper->render() (Line: 35) Drupal\Core\Template\TwigThemeEngine->renderTemplate() (Line: 428) Drupal\Core\Theme\ThemeManager->render() (Line: 500) Drupal\Core\Render\Renderer->doRender() (Line: 230) Drupal\Core\Render\Renderer->render() (Line: 162) Drupal\Core\Render\MainContent\HtmlRenderer->{closure:Drupal\Core\Render\MainContent\HtmlRenderer::renderResponse():157}() (Line: 634) Drupal\Core\Render\Renderer::{closure:Drupal\Core\Render\Renderer::executeInRenderContext():634}() Fiber->start() (Line: 635) Drupal\Core\Render\Renderer->executeInRenderContext() (Line: 157) Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse() (Line: 90) Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray() (Line: 246) Symfony\Component\EventDispatcher\EventDispatcher::{closure:Symfony\Component\EventDispatcher\EventDispatcher::optimizeListeners():241}() (Line: 206) Symfony\Component\EventDispatcher\EventDispatcher->callListeners() (Line: 56) Symfony\Component\EventDispatcher\EventDispatcher->dispatch() (Line: 188) Symfony\Component\HttpKernel\HttpKernel->handleRaw() (Line: 76) Symfony\Component\HttpKernel\HttpKernel->handle() (Line: 53) Drupal\Core\StackMiddleware\Session->handle() (Line: 48) Drupal\Core\StackMiddleware\KernelPreHandle->handle() (Line: 28) Drupal\Core\StackMiddleware\ContentLength->handle() (Line: 32) Drupal\big_pipe\StackMiddleware\ContentLength->handle() (Line: 203) Drupal\page_cache\StackMiddleware\PageCache->fetch() (Line: 140) Drupal\page_cache\StackMiddleware\PageCache->lookup() (Line: 89) Drupal\page_cache\StackMiddleware\PageCache->handle() (Line: 48) Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle() (Line: 51) Drupal\Core\StackMiddleware\NegotiationMiddleware->handle() (Line: 53) Drupal\Core\StackMiddleware\AjaxPageState->handle() (Line: 54) Drupal\Core\StackMiddleware\StackedHttpKernel->handle() (Line: 745) Drupal\Core\DrupalKernel->handle() (Line: 19)
Musculoskeletal System
Musculoskeletal System
Musculoskeletal conditions, evidence, coding, and nursing diagnoses.
Major msk conditions
Osteoporosis
Osteoporosis: low bone mass + microarchitectural deterioration increasing fracture risk. T-score ≤-2.5. Fragility fractures (hip, spine, wrist) are the clinical consequence. Prevention is key.
Hip Fx
Hip fracture in elderly (usually osteoporotic) has 20-30% 1-year mortality. Surgery within 48 hours improves outcomes. Types: femoral neck (intracapsular) and intertrochanteric. Comprehensive geriatric care essential.
RA
RA is systemic autoimmune symmetric polyarthritis. Predominantly small joints (MCPs, PIPs, wrists). Morning stiffness >1 hour. Anti-CCP antibodies are highly specific. Early DMARD therapy prevents joint destruction.
Gout
Gout is uric acid crystal deposition in joints. Classic: podagra (first MTP). Attacks are exquisitely painful. Chronic gout causes tophi and renal stones. Urate-lowering therapy prevents recurrence.
Septic Arthritis
Septic arthritis is joint space infection — orthopedic emergency. Most common: S. aureus. Hot, swollen, painful joint. Joint aspiration is mandatory. Rapid antibiotic therapy and drainage prevent joint destruction.
Compartment Syndrome
Compartment syndrome: elevated intracompartmental pressure compromising perfusion. Cause: trauma, tight casts, reperfusion injury. The 6 P's: Pain (out of proportion), Pressure, Paresthesia, Pallor, Pulselessness, Paralysis. Emergent fasciotomy.
Falls Prevention
Falls are the most common adverse event in hospitals. Risk factors: age >65, polypharmacy, orthostatic hypotension, cognitive impairment, weakness. ABCS: Activity, Bladder, Communication, Supervision.
Related nursing diagnoses
Nursing Diagnoses & Care Plans
Open the NANDA tool to review nursing diagnoses and care-plan concepts related to msk conditions.