diff --git a/src/sections/HistoriaClinica.tsx b/src/sections/HistoriaClinica.tsx
index cb50bb7..5f7e5bf 100644
--- a/src/sections/HistoriaClinica.tsx
+++ b/src/sections/HistoriaClinica.tsx
@@ -43,7 +43,8 @@ import {
   Square,
   Copy,
   Clock,
-  Search
+  Search,
+  ChevronDown
 } from 'lucide-react';
 import { Card, CardContent } from '@/components/ui/card';
 import { Badge } from '@/components/ui/badge';
@@ -1497,10 +1498,32 @@ function SeccionLaboratorios({ lab, patientId, internacionId, add, update, del,
     <div className="space-y-4 w-full max-w-full min-w-0">
       <div className="flex justify-between">
         <div className="flex gap-2">
-          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo</Button>}
-          <Button variant="outline" onClick={() => { setParametroEvolucion('Hematocrito'); setEvolDialog(true); }}><TrendingUp className="h-4 w-4 mr-2" />Evolución</Button>
+          <DropdownMenu>
+            <DropdownMenuTrigger asChild>
+              <Button variant="outline">
+                <List className="h-4 w-4 mr-2" />
+                Acciones
+                <ChevronDown className="h-4 w-4 ml-2" />
+              </Button>
+            </DropdownMenuTrigger>
+            <DropdownMenuContent align="start" className="w-48">
+              {canEdit && (
+                <DropdownMenuItem onClick={() => { reset(); setDialog(true); }}>
+                  <Plus className="h-4 w-4 mr-2" />
+                  Nuevo
+                </DropdownMenuItem>
+              )}
+              <DropdownMenuItem onClick={() => { setParametroEvolucion('Hematocrito'); setEvolDialog(true); }}>
+                <TrendingUp className="h-4 w-4 mr-2" />
+                Evolución
+              </DropdownMenuItem>
+              <DropdownMenuItem onClick={() => setOtrosDialog(true)}>
+                <Eye className="h-4 w-4 mr-2" />
+                Ver Otros
+              </DropdownMenuItem>
+            </DropdownMenuContent>
+          </DropdownMenu>
           <Button variant="outline" onClick={() => { setImportFecha(new Date().toISOString().split('T')[0]); setImportHora(new Date().toTimeString().slice(0, 5)); setImportTexto(''); setImportResultados([]); setImportObservaciones(''); setImportDialog(true); }}><FileText className="h-4 w-4 mr-2" />Importar</Button>
-          <Button variant="outline" onClick={() => setOtrosDialog(true)}><Eye className="h-4 w-4 mr-2" />Ver Otros</Button>
         </div>
       </div>
       <Dialog open={dialog} onOpenChange={setDialog}>