blackmaddog,
Aside from inserting scans and electronic drawings, there is a way to create dynamic drawings on the fly in mathcad. It's not practical for routine hectic design office usage, but if you want drawings badly enough, it can be done.
Go over to collab.mathsoft.com and get on the mathcad forum. Do a search for "turtle" as in "turtle graphics." I don't know of a suite of functions for this, so you'll have to write your own. I actually did this last year for a software development project, but the info is proprietary, so I can't upload it. I'd say it took me 3 days to write the functions to draw lines, arrows, text, etc.