Operative report dissection notes: Preoperative and Postoperative Diagnosis:

The preoperative and postoperative diagnosis should be the same or closely related. Both should be written in acceptable medical terms, without abbreviations or use of layman's terms. It is poor practice to simply write "SAME" for the postoperative diagnosis. PREOPERATIVE DIAGNOSIS: Halluz Limibus, right foot. POSTOPERATIVE DIAGNOSIS: Same (WRONG) must be: PREOPERATIVE DIAGNOSIS: Halluz limibus, right foot. POSTOPERATIVE DIAGNOSIS: Halluz limibus, right foot.