diff --git a/auto_portal.cjs b/auto_portal.cjs
new file mode 100644
index 0000000..f1277d6
--- /dev/null
+++ b/auto_portal.cjs
@@ -0,0 +1,137 @@
+const fs = require('fs');
+
+const patterns = [
+  {
+    // Glucemias
+    find: `<div className="flex justify-between">\n        <div className="flex gap-2">\n          {canEdit && (\n            <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>\n              <Plus className="h-4 w-4 mr-2" />Nueva\n            </Button>\n          )}\n          <Button variant="outline" onClick={() => setEvolDialog(true)} disabled={listGlucemias.length === 0}>\n            <TrendingUp className="h-4 w-4 mr-2" />Evolución\n          </Button>\n        </div>\n      </div>`,
+    replace: `{portalNode ? createPortal(\n        <>\n          {canEdit && (\n            <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>\n              <Plus className="h-4 w-4 mr-2" />Nueva\n            </Button>\n          )}\n          <Button variant="outline" onClick={() => setEvolDialog(true)} disabled={listGlucemias.length === 0}>\n            <TrendingUp className="h-4 w-4 mr-2" />Evolución\n          </Button>\n        </>,\n        portalNode\n      ) : (\n        <div className="flex justify-between mb-4">\n          <div className="flex gap-2">\n            {canEdit && (\n              <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>\n                <Plus className="h-4 w-4 mr-2" />Nueva\n              </Button>\n            )}\n            <Button variant="outline" onClick={() => setEvolDialog(true)} disabled={listGlucemias.length === 0}>\n              <TrendingUp className="h-4 w-4 mr-2" />Evolución\n            </Button>\n          </div>\n        </div>\n      )}`
+  },
+  {
+    // Laboratorios
+    find: `<div className="flex flex-col sm:flex-row sm:items-center sm:justify-between gap-4">\n        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Laboratorio</Button>}\n        <Input placeholder="Buscar por código..." value={searchTerm} onChange={e => setSearchTerm(e.target.value)} className="max-w-xs" />\n      </div>`,
+    replace: `
+      {portalNode ? createPortal(
+        <>
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Laboratorio</Button>}
+          <Input placeholder="Buscar..." value={searchTerm} onChange={e => setSearchTerm(e.target.value)} className="max-w-[150px] h-9" />
+        </>,
+        portalNode
+      ) : (
+        <div className="flex flex-col sm:flex-row sm:items-center sm:justify-between gap-4 mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Laboratorio</Button>}
+          <Input placeholder="Buscar por código..." value={searchTerm} onChange={e => setSearchTerm(e.target.value)} className="max-w-xs" />
+        </div>
+      )}
+    `.trim()
+  },
+  {
+    // Evoluciones
+    find: `<div className="flex">\n        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Evolución</Button>}\n      </div>`,
+    replace: `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Evolución</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Evolución</Button>}
+        </div>
+      )}
+    `.trim()
+  },
+  {
+    // EAB
+    find: `<div className="flex">\n        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Gasometría</Button>}\n      </div>`,
+    replace: `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Gasometría</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Gasometría</Button>}
+        </div>
+      )}
+    `.trim()
+  },
+  {
+    // Cultivos
+    find: `<div className="flex">\n        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Cultivo</Button>}\n      </div>`,
+    replace: `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Cultivo</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Cultivo</Button>}
+        </div>
+      )}
+    `.trim()
+  },
+  {
+    // Estudios
+    find: `<div className="flex">\n        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Estudio</Button>}\n      </div>`,
+    replace: `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Estudio</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Estudio</Button>}
+        </div>
+      )}
+    `.trim()
+  },
+  {
+    // Interconsultas
+    find: `<div className="flex">\n        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Interconsulta</Button>}\n      </div>`,
+    replace: `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Interconsulta</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Interconsulta</Button>}
+        </div>
+      )}
+    `.trim()
+  },
+  {
+    // ATB
+    find: `<div className="flex">\n        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo ATB</Button>}\n      </div>`,
+    replace: `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo ATB</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo ATB</Button>}
+        </div>
+      )}
+    `.trim()
+  },
+  {
+    // Pendientes
+    find: `<div className="flex items-center gap-2">\n        {canEdit && <Button variant="outline" onClick={() => { setPendienteEditar(null); resetForm(); setModalAbierto(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Pendiente</Button>}\n      </div>`,
+    replace: `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { setPendienteEditar(null); resetForm(); setModalAbierto(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Pendiente</Button>,
+        portalNode
+      ) : (
+        <div className="flex items-center gap-2 mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { setPendienteEditar(null); resetForm(); setModalAbierto(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Pendiente</Button>}
+        </div>
+      )}
+    `.trim()
+  }
+];
+
+let code = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+for (let p of patterns) {
+  if (code.includes(p.find)) {
+    code = code.replace(p.find, p.replace);
+  } else {
+    console.log("NOT FOUND:", p.find.substring(0, 50));
+  }
+}
+
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', code);
diff --git a/fix_atb.cjs b/fix_atb.cjs
new file mode 100644
index 0000000..efd89ac
--- /dev/null
+++ b/fix_atb.cjs
@@ -0,0 +1,24 @@
+const fs = require('fs');
+let code = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+const repl = `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+          <Plus className="h-4 w-4 mr-2" />Nuevo
+        </Button>,
+        portalNode
+      ) : (
+        <div className="flex justify-between mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+            <Plus className="h-4 w-4 mr-2" />Nuevo
+          </Button>}
+        </div>
+      )}
+`.trim();
+
+code = code.replace(
+  /<div className="flex justify-between">\s*\{canEdit && <Button variant="outline" onClick=\{\(\) => \{ reset\(\); setDialog\(true\); \}\}>\s*<Plus className="h-4 w-4 mr-2" \/>Nuevo\s*<\/Button>\}\s*<\/div>/g,
+  repl
+);
+
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', code);
diff --git a/fix_buttons.cjs b/fix_buttons.cjs
new file mode 100644
index 0000000..25806e5
--- /dev/null
+++ b/fix_buttons.cjs
@@ -0,0 +1,21 @@
+const fs = require('fs');
+
+function fix(filename) {
+  let code = fs.readFileSync(filename, 'utf8');
+
+  // Regex to find the <div className="flex">...</div> or similar that wraps the add button.
+  // We can just find `{canEdit && <Button ...` and wrap it in a portal.
+  // Actually, some have multiple buttons, like SeccionGlucemias has `<Button>Nueva</Button>` and `<Button>Evolución</Button>`
+
+  // A more robust approach:
+  // Instead of replacing the JSX, let's just create a string replacement loop for known patterns.
+  code = code.replace(
+    /<div className="flex">\s*(\{canEdit && <Button variant="outline" onClick=\{.*?>.*?<\/Button>\})\s*<\/div>/g,
+    `{portalNode ? createPortal($1, portalNode) : <div className="flex mb-4">$1</div>}`
+  );
+  
+  // Wait, some use `<div className="flex justify-between">` ... Let's just find the first `<div className="flex` block in each Seccion.
+  
+  fs.writeFileSync(filename, code);
+}
+// This might be too brittle. I'll edit each manually using sed or perl, or precise strings.
diff --git a/fix_estudios.cjs b/fix_estudios.cjs
new file mode 100644
index 0000000..be9e31c
--- /dev/null
+++ b/fix_estudios.cjs
@@ -0,0 +1,46 @@
+const fs = require('fs');
+let code = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+const regex = /<div className="flex flex-col sm:flex-row justify-between items-start sm:items-center gap-4">\s*<div className="flex gap-2">\s*\{canEdit && <Button variant="outline" onClick=\{\(\) => \{ reset\(\); setDialog\(true\); \}\}>\s*<Plus className="h-4 w-4 mr-2" \/>\s*Nuevo Estudio\s*<\/Button>\}\s*<\/div>\s*<Select value=\{filtro\} onValueChange=\{\(v: 'todos' \| 'internacion'\) => setFiltro\(v\)\}>\s*<SelectTrigger className="w-\[180px\]">\s*<SelectValue placeholder="Filtrar" \/>\s*<\/SelectTrigger>\s*<SelectContent>\s*<SelectItem value="todos">Todos los estudios<\/SelectItem>\s*<SelectItem value="internacion">Solo esta internación<\/SelectItem>\s*<\/SelectContent>\s*<\/Select>\s*<\/div>/g;
+
+const repl = `
+      {portalNode ? createPortal(
+        <>
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+            <Plus className="h-4 w-4 mr-2" />
+            Nuevo Estudio
+          </Button>}
+          <Select value={filtro} onValueChange={(v: 'todos' | 'internacion') => setFiltro(v)}>
+            <SelectTrigger className="w-[180px]">
+              <SelectValue placeholder="Filtrar" />
+            </SelectTrigger>
+            <SelectContent>
+              <SelectItem value="todos">Todos los estudios</SelectItem>
+              <SelectItem value="internacion">Solo esta internación</SelectItem>
+            </SelectContent>
+          </Select>
+        </>,
+        portalNode
+      ) : (
+        <div className="flex flex-col sm:flex-row justify-between items-start sm:items-center gap-4 mb-4">
+          <div className="flex gap-2">
+            {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+              <Plus className="h-4 w-4 mr-2" />
+              Nuevo Estudio
+            </Button>}
+          </div>
+          <Select value={filtro} onValueChange={(v: 'todos' | 'internacion') => setFiltro(v)}>
+            <SelectTrigger className="w-[180px]">
+              <SelectValue placeholder="Filtrar" />
+            </SelectTrigger>
+            <SelectContent>
+              <SelectItem value="todos">Todos los estudios</SelectItem>
+              <SelectItem value="internacion">Solo esta internación</SelectItem>
+            </SelectContent>
+          </Select>
+        </div>
+      )}
+`.trim();
+
+code = code.replace(regex, repl);
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', code);
diff --git a/fix_ic_atb.cjs b/fix_ic_atb.cjs
new file mode 100644
index 0000000..b16f31d
--- /dev/null
+++ b/fix_ic_atb.cjs
@@ -0,0 +1,26 @@
+const fs = require('fs');
+let code = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+const replIC = `
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+          <Plus className="h-4 w-4 mr-2" />
+          Nueva IC
+        </Button>,
+        portalNode
+      ) : (
+        <div className="flex justify-between items-center mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+            <Plus className="h-4 w-4 mr-2" />
+            Nueva IC
+          </Button>}
+        </div>
+      )}
+`.trim();
+
+code = code.replace(
+  /<div className="flex justify-between items-center">\s*\{canEdit && <Button variant="outline" onClick=\{\(\) => \{ reset\(\); setDialog\(true\); \}\}>\s*<Plus className="h-4 w-4 mr-2" \/>\s*Nueva IC\s*<\/Button>\}\s*<\/div>/g,
+  replIC
+);
+
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', code);
diff --git a/fix_pendientes.cjs b/fix_pendientes.cjs
new file mode 100644
index 0000000..c57c52e
--- /dev/null
+++ b/fix_pendientes.cjs
@@ -0,0 +1,38 @@
+const fs = require('fs');
+let code = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+const regex = /<div className="flex items-center gap-2 w-full sm:w-auto justify-end">\s*<Button variant="outline" size="sm" onClick=\{handleCopiarPendientes\} title="Copiar pendientes activos">\s*<Copy className="h-4 w-4 mr-1\.5" \/>\s*Copiar\s*<\/Button>\s*\{canEdit && \(\s*<Button size="sm" onClick=\{\(\) => \{ resetForm\(\); setModalAbierto\(true\); \}\}>\s*<Plus className="h-4 w-4 mr-1\.5" \/>\s*Nuevo Pendiente\s*<\/Button>\s*\)\}\s*<\/div>/g;
+
+const repl = `
+        {portalNode ? createPortal(
+          <>
+            <Button variant="outline" size="sm" onClick={handleCopiarPendientes} title="Copiar pendientes activos">
+              <Copy className="h-4 w-4 mr-1.5" />
+              Copiar
+            </Button>
+            {canEdit && (
+              <Button size="sm" onClick={() => { resetForm(); setModalAbierto(true); }}>
+                <Plus className="h-4 w-4 mr-1.5" />
+                Nuevo Pendiente
+              </Button>
+            )}
+          </>,
+          portalNode
+        ) : (
+          <div className="flex items-center gap-2 w-full sm:w-auto justify-end mb-4">
+            <Button variant="outline" size="sm" onClick={handleCopiarPendientes} title="Copiar pendientes activos">
+              <Copy className="h-4 w-4 mr-1.5" />
+              Copiar
+            </Button>
+            {canEdit && (
+              <Button size="sm" onClick={() => { resetForm(); setModalAbierto(true); }}>
+                <Plus className="h-4 w-4 mr-1.5" />
+                Nuevo Pendiente
+              </Button>
+            )}
+          </div>
+        )}
+`.trim();
+
+code = code.replace(regex, repl);
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', code);
diff --git a/fix_props.cjs b/fix_props.cjs
new file mode 100644
index 0000000..8527426
--- /dev/null
+++ b/fix_props.cjs
@@ -0,0 +1,22 @@
+const fs = require('fs');
+
+function fix(filename) {
+  let code = fs.readFileSync(filename, 'utf8');
+
+  // Fix duplicate portalNode
+  code = code.replace(/portalNode , portalNode/g, 'portalNode');
+
+  // Add type definition: replace `canEdit?: boolean;` with `canEdit?: boolean; portalNode?: HTMLDivElement | null;`
+  code = code.replace(/canEdit\?: boolean;/g, 'canEdit?: boolean;\n  portalNode?: HTMLDivElement | null;');
+  
+  // For SeccionPendientes which has `canEdit: boolean })`
+  code = code.replace(/canEdit: boolean \}\)/g, 'canEdit: boolean; portalNode?: HTMLDivElement | null; })');
+
+  // For SeccionIndicaciones (if it uses `canEdit?: boolean`)
+  
+  fs.writeFileSync(filename, code);
+}
+
+fix('src/sections/HistoriaClinica.tsx');
+try { fix('src/sections/SeccionIndicaciones.tsx'); } catch(e){}
+
diff --git a/patch.cjs b/patch.cjs
new file mode 100644
index 0000000..f523d1f
--- /dev/null
+++ b/patch.cjs
@@ -0,0 +1,58 @@
+const fs = require('fs');
+let code = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+code = code.replace("import { useState } from 'react';", "import { useState } from 'react';\nimport { createPortal } from 'react-dom';");
+
+const portalState = "const [tabActivo, setTabActivo] = useState('evoluciones');\n  const [portalNode, setPortalNode] = useState<HTMLDivElement | null>(null);";
+code = code.replace("const [tabActivo, setTabActivo] = useState('evoluciones');", portalState);
+
+const tabsListRegex = /<ScrollArea className="w-full rounded-md border bg-background whitespace-nowrap">([\s\S]*?)<\/ScrollArea>/;
+const newTabsList = `
+            <div className="flex flex-col sm:flex-row sm:items-center gap-4 mb-4">
+              <Select value={tabActivo} onValueChange={setTabActivo}>
+                <SelectTrigger className="w-full sm:w-[280px] font-semibold bg-gray-50 border-gray-300">
+                  <SelectValue placeholder="Menú de Secciones" />
+                </SelectTrigger>
+                <SelectContent>
+                  <SelectGroup>
+                    <SelectLabel>Menú</SelectLabel>
+                    <SelectItem value="evoluciones">Evoluciones ({evoluciones.length})</SelectItem>
+                    <SelectItem value="indicaciones">Indicaciones ({indicacionesActivas.length})</SelectItem>
+                    <SelectItem value="glucemias">Glucemias ({glucemias.length})</SelectItem>
+                    <SelectItem value="laboratorios">Laboratorio ({laboratorios.length})</SelectItem>
+                    <SelectItem value="acidobase">EAB ({acidosBase.length})</SelectItem>
+                    <SelectItem value="cultivos">Cultivos ({cultivos.length})</SelectItem>
+                    <SelectItem value="atb">ATB ({atb.length})</SelectItem>
+                    <SelectItem value="estudios">Estudios ({estudiosComplementarios.length})</SelectItem>
+                    <SelectItem value="interconsultas">Interconsultas ({interconsultas.length})</SelectItem>
+                    <SelectItem value="pendientes">Pendientes ({pendientesActivos.length})</SelectItem>
+                  </SelectGroup>
+                </SelectContent>
+              </Select>
+              
+              <div ref={setPortalNode} id="menu-actions" className="flex flex-1 items-center gap-2 overflow-x-auto min-h-[40px]"></div>
+            </div>
+`;
+
+code = code.replace(tabsListRegex, newTabsList.trim());
+
+// We also need to add portalNode={portalNode} to all SeccionXXX components
+code = code.replace(/<SeccionGlucemias (.*?)\/>/g, '<SeccionGlucemias portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionLaboratorios (.*?)\/>/g, '<SeccionLaboratorios portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionEvoluciones (.*?)\/>/g, '<SeccionEvoluciones portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionAcidosBase (.*?)\/>/g, '<SeccionAcidosBase portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionCultivos (.*?)\/>/g, '<SeccionCultivos portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionATB (.*?)\/>/g, '<SeccionATB portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionIndicaciones (.*?)\/>/g, '<SeccionIndicaciones portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionEstudiosComplementarios (.*?)\/>/g, '<SeccionEstudiosComplementarios portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionInterconsultas (.*?)\/>/g, '<SeccionInterconsultas portalNode={portalNode} $1/>');
+code = code.replace(/<SeccionPendientes (.*?)\/>/g, '<SeccionPendientes portalNode={portalNode} $1/>');
+
+// Update signatures
+function updateSignature(name) {
+  const regex = new RegExp(`function ${name}\\(\\{ (.*?)canEdit \\}: \\{([\\s\\S]*?)canEdit\\?: boolean;([\\s\\S]*?)\\}\\) \\{`, 'g');
+  // Wait, some might not have canEdit?: boolean optional.
+}
+// Actually, it's easier to do this individually or just with a regex
+
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', code);
diff --git a/patch.js b/patch.js
new file mode 100644
index 0000000..44ab953
--- /dev/null
+++ b/patch.js
@@ -0,0 +1,39 @@
+const fs = require('fs');
+let code = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+code = code.replace("import { useState } from 'react';", "import { useState } from 'react';\nimport { createPortal } from 'react-dom';");
+
+const portalState = "const [tabActivo, setTabActivo] = useState('evoluciones');\n  const [portalNode, setPortalNode] = useState<HTMLDivElement | null>(null);";
+code = code.replace("const [tabActivo, setTabActivo] = useState('evoluciones');", portalState);
+
+const tabsListRegex = /<ScrollArea className="w-full rounded-md border bg-background whitespace-nowrap">([\s\S]*?)<\/ScrollArea>/;
+const newTabsList = `
+            <div className="flex flex-col sm:flex-row sm:items-center gap-4 mb-4">
+              <Select value={tabActivo} onValueChange={setTabActivo}>
+                <SelectTrigger className="w-full sm:w-[280px] font-semibold bg-gray-50 border-gray-300">
+                  <SelectValue placeholder="Menú de Secciones" />
+                </SelectTrigger>
+                <SelectContent>
+                  <SelectGroup>
+                    <SelectLabel>Menú</SelectLabel>
+                    <SelectItem value="evoluciones">Evoluciones ({evoluciones.length})</SelectItem>
+                    <SelectItem value="indicaciones">Indicaciones ({indicacionesActivas.length})</SelectItem>
+                    <SelectItem value="glucemias">Glucemias ({glucemias.length})</SelectItem>
+                    <SelectItem value="laboratorios">Laboratorio ({laboratorios.length})</SelectItem>
+                    <SelectItem value="acidobase">EAB ({acidosBase.length})</SelectItem>
+                    <SelectItem value="cultivos">Cultivos ({cultivos.length})</SelectItem>
+                    <SelectItem value="atb">ATB ({atb.length})</SelectItem>
+                    <SelectItem value="estudios">Estudios ({estudiosComplementarios.length})</SelectItem>
+                    <SelectItem value="interconsultas">Interconsultas ({interconsultas.length})</SelectItem>
+                    <SelectItem value="pendientes">Pendientes ({pendientesActivos.length})</SelectItem>
+                  </SelectGroup>
+                </SelectContent>
+              </Select>
+              
+              <div ref={setPortalNode} id="menu-actions" className="flex flex-1 items-center gap-2 overflow-x-auto min-h-[40px]"></div>
+            </div>
+`.trim();
+
+code = code.replace(tabsListRegex, newTabsList);
+
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', code);
diff --git a/patch2.cjs b/patch2.cjs
new file mode 100644
index 0000000..86949f8
--- /dev/null
+++ b/patch2.cjs
@@ -0,0 +1,45 @@
+const fs = require('fs');
+
+function processFile(filename) {
+  let code = fs.readFileSync(filename, 'utf8');
+
+  // Add import if not present
+  if (!code.includes("import { createPortal }")) {
+    code = code.replace("import { useState }", "import { useState } from 'react';\nimport { createPortal }");
+    if (!code.includes("import { createPortal }")) {
+        code = "import { createPortal } from 'react-dom';\n" + code;
+    }
+  }
+
+  // Update component signatures
+  const components = [
+    'SeccionGlucemias', 'SeccionLaboratorios', 'SeccionEvoluciones',
+    'SeccionAcidosBase', 'SeccionCultivos', 'SeccionATB',
+    'SeccionEstudiosComplementarios', 'SeccionInterconsultas', 'SeccionPendientes',
+    'SeccionIndicaciones'
+  ];
+
+  components.forEach(name => {
+    // 1. Add portalNode to the destructured props
+    const regex1 = new RegExp(`function ${name}\\(\\{ (.*?) \\}: \\{`, 'g');
+    code = code.replace(regex1, `function ${name}({ $1, portalNode }: {`);
+    
+    // Some don't have spaces around the brackets
+    const regex1b = new RegExp(`function ${name}\\(\\{(.*?)\\}: \\{`, 'g');
+    code = code.replace(regex1b, `function ${name}({$1, portalNode}: {`);
+
+    // 2. Add portalNode?: HTMLDivElement | null; to the type definition
+    // Usually ends with canEdit?: boolean; }) or canEdit: boolean })
+    const regex2 = new RegExp(`(canEdit\\??: boolean;?\\s*)\\}\\)`, 'g');
+    // Actually we can just find the end of the props type definition for that component.
+    // It's safer to just replace `canEdit` or something similar, but let's do a more robust approach.
+  });
+
+  fs.writeFileSync(filename, code);
+}
+
+processFile('src/sections/HistoriaClinica.tsx');
+try {
+  processFile('src/sections/SeccionIndicaciones.tsx');
+} catch (e) {}
+
diff --git a/src/sections/HistoriaClinica.tsx b/src/sections/HistoriaClinica.tsx
index 1380869..d7339f4 100644
--- a/src/sections/HistoriaClinica.tsx
+++ b/src/sections/HistoriaClinica.tsx
@@ -1,4 +1,5 @@
 import { useState } from 'react';
+import { createPortal } from 'react-dom';
 import { toast } from 'sonner';
 import { User } from 'lucide-react';
 import { useHospitalStore } from '@/hooks/useHospitalStore';
@@ -249,6 +250,7 @@ export function HistoriaClinica({
   canEdit,
 }: HistoriaClinicaProps) {
   const [tabActivo, setTabActivo] = useState('evoluciones');
+  const [portalNode, setPortalNode] = useState<HTMLDivElement | null>(null);
   const { pendientes } = useHospitalStore();
   const indicacionesActivas = (indicadores || []).filter(i => i.estado === 'Activa');
   const pendientesActivos = (pendientes || []).filter(p => p.pacienteId === paciente.id && p.estado === 'pendiente');
@@ -536,81 +538,49 @@ export function HistoriaClinica({
       <div className="grid grid-cols-1 w-full">
         <div className="w-full overflow-x-auto rounded-md pb-2">
           <Tabs className="w-full" value={tabActivo} onValueChange={setTabActivo}>
-            <ScrollArea className="w-full rounded-md border bg-background whitespace-nowrap">
-              <TabsList className="w-full">
-                <TabsTrigger value="evoluciones">
-                  <FileText className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>Evoluciones</span>
-                  ({evoluciones.length})
-                </TabsTrigger>
-
-                <TabsTrigger value="indicaciones">
-                  <List className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>Indicaciones</span>
-                  ({indicacionesActivas.length})
-                </TabsTrigger>
-                <TabsTrigger value="glucemias">
-                  <Droplet className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>Glucemias</span>
-                  ({glucemias.length})
-                </TabsTrigger>
-                <TabsTrigger value="laboratorios">
-                  <FlaskConical className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>Laboratorio</span>
-                  ({laboratorios.length})
-                </TabsTrigger>
-                <TabsTrigger value="acidobase">
-                  <Activity className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>EAB</span>
-                  ({acidosBase.length})
-                </TabsTrigger>
-                <TabsTrigger value="cultivos">
-                  <Microscope className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>Cultivos</span>
-                  ({cultivos.length})
-                </TabsTrigger>
-                <TabsTrigger value="atb">
-                  <Pill className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>ATB</span>
-                  ({atb.length})
-                </TabsTrigger>
-                <TabsTrigger value="estudios">
-                  <ClipboardList className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>Estudios</span>
-                  ({estudiosComplementarios.length})
-                </TabsTrigger>
-                <TabsTrigger value="interconsultas">
-                  <Users className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>Interconsultas</span>
-                  ({interconsultas.length})
-                </TabsTrigger>
-                <TabsTrigger value="pendientes">
-                  <ListTodo className="h-3 w-3 sm:h-4 sm:w-4" />
-                  <span>Pendientes</span>
-                  ({pendientesActivos.length})
-                </TabsTrigger>
-              </TabsList>
-              <ScrollBar orientation="horizontal" />
-            </ScrollArea>
+            <div className="flex flex-col sm:flex-row sm:items-center gap-4 mb-4">
+              <Select value={tabActivo} onValueChange={setTabActivo}>
+                <SelectTrigger className="w-full sm:w-[280px] font-semibold bg-gray-50 border-gray-300">
+                  <SelectValue placeholder="Menú de Secciones" />
+                </SelectTrigger>
+                <SelectContent>
+                  <SelectGroup>
+                    <SelectLabel>Menú</SelectLabel>
+                    <SelectItem value="evoluciones">Evoluciones ({evoluciones.length})</SelectItem>
+                    <SelectItem value="indicaciones">Indicaciones ({indicacionesActivas.length})</SelectItem>
+                    <SelectItem value="glucemias">Glucemias ({glucemias.length})</SelectItem>
+                    <SelectItem value="laboratorios">Laboratorio ({laboratorios.length})</SelectItem>
+                    <SelectItem value="acidobase">EAB ({acidosBase.length})</SelectItem>
+                    <SelectItem value="cultivos">Cultivos ({cultivos.length})</SelectItem>
+                    <SelectItem value="atb">ATB ({atb.length})</SelectItem>
+                    <SelectItem value="estudios">Estudios ({estudiosComplementarios.length})</SelectItem>
+                    <SelectItem value="interconsultas">Interconsultas ({interconsultas.length})</SelectItem>
+                    <SelectItem value="pendientes">Pendientes ({pendientesActivos.length})</SelectItem>
+                  </SelectGroup>
+                </SelectContent>
+              </Select>
+              
+              <div ref={setPortalNode} id="menu-actions" className="flex flex-1 items-center gap-2 overflow-x-auto min-h-[40px]"></div>
+            </div>
 
             <TabsContent value="glucemias" className="mt-4 min-w-0 w-full overflow-hidden">
-              <SeccionGlucemias glucemias={glucemias} patientId={paciente.id} internacionId={internacion.id} add={onAgregarGlucemia} update={onActualizarGlucemia} del={onEliminarGlucemia} canEdit={canEdit} />
+              <SeccionGlucemias portalNode={portalNode} glucemias={glucemias} patientId={paciente.id} internacionId={internacion.id} add={onAgregarGlucemia} update={onActualizarGlucemia} del={onEliminarGlucemia} canEdit={canEdit} />
             </TabsContent>
 
             <TabsContent value="laboratorios" className="mt-4 min-w-0 w-full overflow-hidden">
-              <SeccionLaboratorios lab={laboratorios} patientId={paciente.id} internacionId={internacion.id} add={onAgregarLaboratorio} update={onActualizarLaboratorio} del={onEliminarLaboratorio} addAcidoBase={onAgregarAcidoBase} canEdit={canEdit} />
+              <SeccionLaboratorios portalNode={portalNode} lab={laboratorios} patientId={paciente.id} internacionId={internacion.id} add={onAgregarLaboratorio} update={onActualizarLaboratorio} del={onEliminarLaboratorio} addAcidoBase={onAgregarAcidoBase} canEdit={canEdit} />
             </TabsContent>
 
             <TabsContent value="evoluciones" className="mt-4">
-              <SeccionEvoluciones evos={evoluciones} internacionId={internacion.id} add={onAgregarEvolucion} update={onActualizarEvolucion} del={onEliminarEvolucion} canEdit={canEdit} />
+              <SeccionEvoluciones portalNode={portalNode} evos={evoluciones} internacionId={internacion.id} add={onAgregarEvolucion} update={onActualizarEvolucion} del={onEliminarEvolucion} canEdit={canEdit} />
             </TabsContent>
 
             <TabsContent value="acidobase" className="mt-4">
-              <SeccionAcidosBase ab={acidosBase} patientId={paciente.id} internacionId={internacion.id} add={onAgregarAcidoBase} update={onActualizarAcidoBase} del={onEliminarAcidoBase} canEdit={canEdit} />
+              <SeccionAcidosBase portalNode={portalNode} ab={acidosBase} patientId={paciente.id} internacionId={internacion.id} add={onAgregarAcidoBase} update={onActualizarAcidoBase} del={onEliminarAcidoBase} canEdit={canEdit} />
             </TabsContent>
 
             <TabsContent value="cultivos" className="mt-4">
-              <SeccionCultivos cults={cultivos} patient={paciente} internacionId={internacion.id} add={onAgregarCultivo} update={onActualizarCultivo} del={onEliminarCultivo} canEdit={canEdit} />
+              <SeccionCultivos portalNode={portalNode} cults={cultivos} patient={paciente} internacionId={internacion.id} add={onAgregarCultivo} update={onActualizarCultivo} del={onEliminarCultivo} canEdit={canEdit} />
             </TabsContent>
 
             <TabsContent value="atb" className="mt-4">
@@ -680,7 +650,7 @@ export function HistoriaClinica({
   );
 }
 
-function SeccionGlucemias({ glucemias, patientId, internacionId, add, update, del, canEdit }: {
+function SeccionGlucemias({ glucemias, patientId, internacionId, add, update, del, canEdit, portalNode}: {
   glucemias: Glucemia[];
   patientId: string;
   internacionId: string;
@@ -688,6 +658,7 @@ function SeccionGlucemias({ glucemias, patientId, internacionId, add, update, de
   update: (id: string, data: Partial<Glucemia>) => void;
   del: (id: string) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
 }) {
   const [dialog, setDialog] = useState(false);
   const [evolDialog, setEvolDialog] = useState(false);
@@ -768,8 +739,8 @@ function SeccionGlucemias({ glucemias, patientId, internacionId, add, update, de
 
   return (
     <div className="space-y-4 w-full max-w-full min-w-0">
-      <div className="flex justify-between">
-        <div className="flex gap-2">
+      {portalNode ? createPortal(
+        <>
           {canEdit && (
             <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
               <Plus className="h-4 w-4 mr-2" />Nueva
@@ -778,8 +749,22 @@ function SeccionGlucemias({ glucemias, patientId, internacionId, add, update, de
           <Button variant="outline" onClick={() => setEvolDialog(true)} disabled={listGlucemias.length === 0}>
             <TrendingUp className="h-4 w-4 mr-2" />Evolución
           </Button>
+        </>,
+        portalNode
+      ) : (
+        <div className="flex justify-between mb-4">
+          <div className="flex gap-2">
+            {canEdit && (
+              <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+                <Plus className="h-4 w-4 mr-2" />Nueva
+              </Button>
+            )}
+            <Button variant="outline" onClick={() => setEvolDialog(true)} disabled={listGlucemias.length === 0}>
+              <TrendingUp className="h-4 w-4 mr-2" />Evolución
+            </Button>
+          </div>
         </div>
-      </div>
+      )}
 
       <Dialog open={dialog} onOpenChange={setDialog}>
         <DialogContent className="sm:max-w-md">
@@ -940,7 +925,7 @@ function SeccionGlucemias({ glucemias, patientId, internacionId, add, update, de
   );
 }
 
-function SeccionLaboratorios({ lab, patientId, internacionId, add, update, del, addAcidoBase, canEdit }: {
+function SeccionLaboratorios({ lab, patientId, internacionId, add, update, del, addAcidoBase, canEdit, portalNode}: {
   lab: Laboratorio[];
   patientId: string;
   internacionId: string;
@@ -949,6 +934,7 @@ function SeccionLaboratorios({ lab, patientId, internacionId, add, update, del,
   del: (id: string) => void;
   addAcidoBase?: (a: Omit<AcidoBase, 'id'>) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
 }) {
   const [dialog, setDialog] = useState(false);
   const [obsDialog, setObsDialog] = useState(false);
@@ -1864,13 +1850,14 @@ function SeccionLaboratorios({ lab, patientId, internacionId, add, update, del,
   );
 }
 
-function SeccionEvoluciones({ evos, internacionId, add, update, del, canEdit }: {
+function SeccionEvoluciones({ evos, internacionId, add, update, del, canEdit, portalNode}: {
   evos: Evolucion[];
   internacionId: string;
   add: (e: Omit<Evolucion, 'id'>) => void;
   update: (id: string, data: Partial<Evolucion>) => void;
   del: (id: string) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
 }) {
   const { currentUser } = useHospitalStore();
   const [dialog, setDialog] = useState(false);
@@ -1974,9 +1961,14 @@ function SeccionEvoluciones({ evos, internacionId, add, update, del, canEdit }:
 
   return (
     <div className="space-y-4">
-      <div className="flex">
-        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Evolución</Button>}
-      </div>
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Evolución</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Evolución</Button>}
+        </div>
+      )}
       <Dialog open={dialog} onOpenChange={setDialog}>
         <DialogContent className="sm:max-w-3xl max-h-[90vh] overflow-y-auto">
           <DialogHeader><DialogTitle>{edit ? 'Editar' : 'Nueva'} Evolución</DialogTitle></DialogHeader>
@@ -2181,7 +2173,7 @@ function SeccionEvoluciones({ evos, internacionId, add, update, del, canEdit }:
   );
 }
 
-function SeccionAcidosBase({ ab, patientId, internacionId, add, update, del, canEdit }: {
+function SeccionAcidosBase({ ab, patientId, internacionId, add, update, del, canEdit, portalNode}: {
   ab: AcidoBase[];
   patientId: string;
   internacionId: string;
@@ -2189,6 +2181,7 @@ function SeccionAcidosBase({ ab, patientId, internacionId, add, update, del, can
   update: (id: string, datos: Partial<AcidoBase>) => void;
   del: (id: string) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
 }) {
   const [dialog, setDialog] = useState(false);
   const [editDialog, setEditDialog] = useState(false);
@@ -2260,9 +2253,14 @@ function SeccionAcidosBase({ ab, patientId, internacionId, add, update, del, can
 
   return (
     <div className="space-y-4">
-      <div className="flex">
-        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Gasometría</Button>}
-      </div>
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Gasometría</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nueva Gasometría</Button>}
+        </div>
+      )}
       <Dialog open={dialog} onOpenChange={setDialog}>
         <DialogContent className="sm:max-w-2xl max-h-[90vh] overflow-y-auto">
           <DialogHeader><DialogTitle>Nueva Gasometría Arterial</DialogTitle></DialogHeader>
@@ -2400,7 +2398,7 @@ function SeccionAcidosBase({ ab, patientId, internacionId, add, update, del, can
   );
 }
 
-function SeccionCultivos({ cults, patient, internacionId, add, update, del, canEdit }: {
+function SeccionCultivos({ cults, patient, internacionId, add, update, del, canEdit, portalNode}: {
   cults: Cultivo[];
   patient: Paciente;
   internacionId: string;
@@ -2408,6 +2406,7 @@ function SeccionCultivos({ cults, patient, internacionId, add, update, del, canE
   update: (id: string, data: Partial<Cultivo>) => void;
   del: (id: string) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
 }) {
   const [dialog, setDialog] = useState(false);
   const [resDialog, setResDialog] = useState(false);
@@ -2505,9 +2504,14 @@ function SeccionCultivos({ cults, patient, internacionId, add, update, del, canE
 
   return (
     <div className="space-y-4">
-      <div className="flex">
-        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Cultivo</Button>}
-      </div>
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Cultivo</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Cultivo</Button>}
+        </div>
+      )}
       <Dialog open={dialog} onOpenChange={setDialog}>
         <DialogContent className="sm:max-w-lg">
           <DialogHeader><DialogTitle>Nuevo Cultivo</DialogTitle></DialogHeader>
@@ -2698,7 +2702,7 @@ function SeccionCultivos({ cults, patient, internacionId, add, update, del, canE
   );
 }
 
-function SeccionEstudiosComplementarios({ estudios, internacionId, pacienteId, add, update, del, canEdit }: {
+function SeccionEstudiosComplementarios({ estudios, internacionId, pacienteId, add, update, del, canEdit, portalNode}: {
   estudios: EstudioComplementario[];
   internacionId: string;
   pacienteId: string;
@@ -2706,6 +2710,7 @@ function SeccionEstudiosComplementarios({ estudios, internacionId, pacienteId, a
   update: (id: string, datos: Partial<EstudioComplementario>) => void;
   del: (id: string) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
 }) {
   const [dialog, setDialog] = useState(false);
   const [filtro, setFiltro] = useState<'todos' | 'internacion'>('internacion');
@@ -2847,7 +2852,7 @@ function SeccionEstudiosComplementarios({ estudios, internacionId, pacienteId, a
   );
 }
 
-function SeccionInterconsultas({ interconsultas, pacienteId, internacionId, add, update, del, canEdit }: {
+function SeccionInterconsultas({ interconsultas, pacienteId, internacionId, add, update, del, canEdit, portalNode}: {
   interconsultas: Interconsulta[];
   pacienteId: string;
   internacionId: string;
@@ -2855,6 +2860,7 @@ function SeccionInterconsultas({ interconsultas, pacienteId, internacionId, add,
   update: (id: string, datos: Partial<Interconsulta>) => void;
   del: (id: string) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
 }) {
   const [dialog, setDialog] = useState(false);
   const [fecha, setFecha] = useState(getLocalToday());
@@ -2902,12 +2908,20 @@ function SeccionInterconsultas({ interconsultas, pacienteId, internacionId, add,
 
   return (
     <div className="space-y-4">
-      <div className="flex justify-between items-center">
-        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
           <Plus className="h-4 w-4 mr-2" />
           Nueva IC
-        </Button>}
-      </div>
+        </Button>,
+        portalNode
+      ) : (
+        <div className="flex justify-between items-center mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+            <Plus className="h-4 w-4 mr-2" />
+            Nueva IC
+          </Button>}
+        </div>
+      )}
 
       <Dialog open={dialog} onOpenChange={setDialog}>
         <DialogContent className="sm:max-w-lg">
@@ -3020,7 +3034,7 @@ function SeccionInterconsultas({ interconsultas, pacienteId, internacionId, add,
   );
 }
 
-function SeccionATB({ atb, internacionId, pacienteId, add, update, del, canEdit }: {
+function SeccionATB({ atb, internacionId, pacienteId, add, update, del, canEdit, portalNode}: {
   atb: ATB[];
   internacionId: string;
   pacienteId: string;
@@ -3028,6 +3042,7 @@ function SeccionATB({ atb, internacionId, pacienteId, add, update, del, canEdit
   update: (id: string, data: Partial<ATB>) => void;
   del: (id: string) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
 }) {
   const [dialog, setDialog] = useState(false);
   const [edit, setEdit] = useState<ATB | null>(null);
@@ -3085,11 +3100,18 @@ function SeccionATB({ atb, internacionId, pacienteId, add, update, del, canEdit
 
   return (
     <div className="space-y-4">
-      <div className="flex justify-between">
-        {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+      {portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
           <Plus className="h-4 w-4 mr-2" />Nuevo
-        </Button>}
-      </div>
+        </Button>,
+        portalNode
+      ) : (
+        <div className="flex justify-between mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+            <Plus className="h-4 w-4 mr-2" />Nuevo
+          </Button>}
+        </div>
+      )}
 
       <Dialog open={dialog} onOpenChange={setDialog}>
         <DialogContent className="sm:max-w-md">
@@ -3159,7 +3181,7 @@ function SeccionATB({ atb, internacionId, pacienteId, add, update, del, canEdit
   );
 }
 
-function SeccionPendientes({ pacienteId, internacionId, canEdit }: { pacienteId: string; internacionId: string; canEdit: boolean }) {
+function SeccionPendientes({ pacienteId, internacionId, canEdit, portalNode}: { pacienteId: string; internacionId: string; canEdit: boolean; portalNode?: HTMLDivElement | null; }) {
   const { pendientes, agregarPendiente, actualizarPendiente, eliminarPendiente, currentUser } = useHospitalStore();
   const [modalAbierto, setModalAbierto] = useState(false);
   const [pendienteEditar, setPendienteEditar] = useState<Pendiente | null>(null);
@@ -3368,18 +3390,34 @@ function SeccionPendientes({ pacienteId, internacionId, canEdit }: { pacienteId:
           </Select>
         </div>
 
-        <div className="flex items-center gap-2 w-full sm:w-auto justify-end">
-          <Button variant="outline" size="sm" onClick={handleCopiarPendientes} title="Copiar pendientes activos">
-            <Copy className="h-4 w-4 mr-1.5" />
-            Copiar
-          </Button>
-          {canEdit && (
-            <Button size="sm" onClick={() => { resetForm(); setModalAbierto(true); }}>
-              <Plus className="h-4 w-4 mr-1.5" />
-              Nuevo Pendiente
+        {portalNode ? createPortal(
+          <>
+            <Button variant="outline" size="sm" onClick={handleCopiarPendientes} title="Copiar pendientes activos">
+              <Copy className="h-4 w-4 mr-1.5" />
+              Copiar
             </Button>
-          )}
-        </div>
+            {canEdit && (
+              <Button size="sm" onClick={() => { resetForm(); setModalAbierto(true); }}>
+                <Plus className="h-4 w-4 mr-1.5" />
+                Nuevo Pendiente
+              </Button>
+            )}
+          </>,
+          portalNode
+        ) : (
+          <div className="flex items-center gap-2 w-full sm:w-auto justify-end mb-4">
+            <Button variant="outline" size="sm" onClick={handleCopiarPendientes} title="Copiar pendientes activos">
+              <Copy className="h-4 w-4 mr-1.5" />
+              Copiar
+            </Button>
+            {canEdit && (
+              <Button size="sm" onClick={() => { resetForm(); setModalAbierto(true); }}>
+                <Plus className="h-4 w-4 mr-1.5" />
+                Nuevo Pendiente
+              </Button>
+            )}
+          </div>
+        )}
       </div>
 
       {/* List of Pendientes */}
diff --git a/src/sections/SeccionIndicaciones.tsx b/src/sections/SeccionIndicaciones.tsx
index 82e535a..961b0a1 100644
--- a/src/sections/SeccionIndicaciones.tsx
+++ b/src/sections/SeccionIndicaciones.tsx
@@ -1,4 +1,5 @@
 import { useState } from 'react';
+import { createPortal } from 'react';
 import { toast } from 'sonner';
 import { Badge } from '@/components/ui/badge';
 import { Button } from '@/components/ui/button';
@@ -13,7 +14,7 @@ import type { Indicacion, IndicacionTipo, ViaAdministracion, TipoPlanHidratacion
 import { useHospitalStore } from '@/hooks/useHospitalStore';
 import { getNombreProfesional, getLocalToday } from '@/lib/utils';
 
-export function SeccionIndicaciones({ recomendaciones, internacionId, pacienteId, add, update, del, movimientos, onAgregarMovimiento, canEdit, atbList = [], addATB, updateATB }: {
+export function SeccionIndicaciones({ recomendaciones, internacionId, pacienteId, add, update, del, movimientos, onAgregarMovimiento, canEdit, atbList = [], addATB, updateATB, portalNode}: {
   recomendaciones: Indicacion[];
   internacionId: string;
   pacienteId?: string;
@@ -23,6 +24,7 @@ export function SeccionIndicaciones({ recomendaciones, internacionId, pacienteId
   movimientos?: unknown[];
   onAgregarMovimiento?: (m: unknown) => void;
   canEdit?: boolean;
+  portalNode?: HTMLDivElement | null;
   atbList?: ATB[];
   addATB?: (a: Omit<ATB, 'id'>) => Promise<unknown>;
   updateATB?: (id: string, datos: Partial<ATB>) => void;
@@ -283,14 +285,26 @@ export function SeccionIndicaciones({ recomendaciones, internacionId, pacienteId
 
   return (
     <div className="space-y-2.5">
-      <div className="flex justify-between items-center">
-        {canEdit && <Button size="sm" variant="outline" onClick={() => { reset(); setDialog(true); }}>
-          <Plus className="h-4 w-4 mr-1.5" />Nueva Indicación
-        </Button>}
-        <Button size="sm" variant="ghost" onClick={() => setShowHistorial(!showHistorial)}>
-          {showHistorial ? 'Ocultar Historial' : `Ver Historial (${movs.length})`}
-        </Button>
-      </div>
+      {portalNode ? createPortal(
+    <>
+      {canEdit && <Button size="sm" variant="outline" onClick={() => { reset(); setDialog(true); }}>
+        <Plus className="h-4 w-4 mr-1.5" />Nueva Indicación
+      </Button>}
+      <Button size="sm" variant="ghost" onClick={() => setShowHistorial(!showHistorial)}>
+        {showHistorial ? 'Ocultar Historial' : `Ver Historial (${movs.length})`}
+      </Button>
+    </>,
+    portalNode
+  ) : (
+    <div className="flex justify-between items-center mb-4">
+      {canEdit && <Button size="sm" variant="outline" onClick={() => { reset(); setDialog(true); }}>
+        <Plus className="h-4 w-4 mr-1.5" />Nueva Indicación
+      </Button>}
+      <Button size="sm" variant="ghost" onClick={() => setShowHistorial(!showHistorial)}>
+        {showHistorial ? 'Ocultar Historial' : `Ver Historial (${movs.length})`}
+      </Button>
+    </div>
+  )}
 
       <Dialog open={dialog} onOpenChange={setDialog}>
         <DialogContent className="sm:max-w-lg">
diff --git a/update_buttons.cjs b/update_buttons.cjs
new file mode 100644
index 0000000..8b33c2f
--- /dev/null
+++ b/update_buttons.cjs
@@ -0,0 +1,92 @@
+const fs = require('fs');
+
+let hc = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+// Laboratorios
+hc = hc.replace(
+  /<div className="flex flex-col sm:flex-row sm:items-center sm:justify-between gap-4">\s*\{canEdit && <Button variant="outline" onClick=\{\(\) => \{ reset\(\); setDialog\(true\); \}\}><Plus className="h-4 w-4 mr-2" \/>Nuevo Laboratorio<\/Button>\}\s*<Input placeholder="Buscar por código..." value=\{searchTerm\} onChange=\{e => setSearchTerm\(e\.target\.value\)\} className="max-w-xs" \/>\s*<\/div>/g,
+  `{portalNode ? createPortal(
+    <>
+      {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Laboratorio</Button>}
+      <Input placeholder="Buscar por código..." value={searchTerm} onChange={e => setSearchTerm(e.target.value)} className="max-w-xs" />
+    </>,
+    portalNode
+  ) : (
+    <div className="flex flex-col sm:flex-row sm:items-center sm:justify-between gap-4 mb-4">
+      {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Laboratorio</Button>}
+      <Input placeholder="Buscar por código..." value={searchTerm} onChange={e => setSearchTerm(e.target.value)} className="max-w-xs" />
+    </div>
+  )}`
+);
+
+// General pattern for those inside `<div className="flex">`
+const blocks = [
+  'Nueva Evolución',
+  'Nueva Gasometría',
+  'Nuevo Cultivo',
+  'Nuevo Estudio',
+  'Nueva Interconsulta',
+  'Nuevo ATB'
+];
+
+blocks.forEach(text => {
+  const regex = new RegExp(`<div className="flex">\\s*\\{canEdit && <Button variant="outline" onClick=\\{\\(\\) => \\{ reset\\(\\); setDialog\\(true\\); \\}\\}\\><Plus className="h-4 w-4 mr-2" \\/>${text}<\\/Button>\\}\\s*<\\/div>`, 'g');
+  
+  hc = hc.replace(regex, `{portalNode ? createPortal(
+        canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />${text}</Button>,
+        portalNode
+      ) : (
+        <div className="flex mb-4">
+          {canEdit && <Button variant="outline" onClick={() => { reset(); setDialog(true); }}><Plus className="h-4 w-4 mr-2" />${text}</Button>}
+        </div>
+      )}`);
+});
+
+// Pendientes
+hc = hc.replace(
+  /<div className="flex items-center gap-2">\s*\{canEdit && <Button variant="outline" onClick=\{\(\) => \{ setPendienteEditar\(null\); resetForm\(\); setModalAbierto\(true\); \}\}><Plus className="h-4 w-4 mr-2" \/>Nuevo Pendiente<\/Button>\}\s*<\/div>/g,
+  `{portalNode ? createPortal(
+    canEdit && <Button variant="outline" onClick={() => { setPendienteEditar(null); resetForm(); setModalAbierto(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Pendiente</Button>,
+    portalNode
+  ) : (
+    <div className="flex items-center gap-2 mb-4">
+      {canEdit && <Button variant="outline" onClick={() => { setPendienteEditar(null); resetForm(); setModalAbierto(true); }}><Plus className="h-4 w-4 mr-2" />Nuevo Pendiente</Button>}
+    </div>
+  )}`
+);
+
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', hc);
+
+
+let si = fs.readFileSync('src/sections/SeccionIndicaciones.tsx', 'utf8');
+
+// Also import createPortal
+if (!si.includes("createPortal")) {
+  si = si.replace("import { useState }", "import { useState } from 'react';\nimport { createPortal }");
+}
+
+si = si.replace(
+  /<div className="flex justify-between items-center">\s*\{canEdit && <Button size="sm" variant="outline" onClick=\{\(\) => \{ reset\(\); setDialog\(true\); \}\}>\s*<Plus className="h-4 w-4 mr-1\.5" \/>Nueva Indicación\s*<\/Button>\}\s*<Button size="sm" variant="ghost" onClick=\{\(\) => setShowHistorial\(!showHistorial\)\}>\s*\{showHistorial \? 'Ocultar Historial' : \`Ver Historial \(\$\{movs\.length\}\)\`\}\s*<\/Button>\s*<\/div>/g,
+  `{portalNode ? createPortal(
+    <>
+      {canEdit && <Button size="sm" variant="outline" onClick={() => { reset(); setDialog(true); }}>
+        <Plus className="h-4 w-4 mr-1.5" />Nueva Indicación
+      </Button>}
+      <Button size="sm" variant="ghost" onClick={() => setShowHistorial(!showHistorial)}>
+        {showHistorial ? 'Ocultar Historial' : \`Ver Historial (\${movs.length})\`}
+      </Button>
+    </>,
+    portalNode
+  ) : (
+    <div className="flex justify-between items-center mb-4">
+      {canEdit && <Button size="sm" variant="outline" onClick={() => { reset(); setDialog(true); }}>
+        <Plus className="h-4 w-4 mr-1.5" />Nueva Indicación
+      </Button>}
+      <Button size="sm" variant="ghost" onClick={() => setShowHistorial(!showHistorial)}>
+        {showHistorial ? 'Ocultar Historial' : \`Ver Historial (\${movs.length})\`}
+      </Button>
+    </div>
+  )}`
+);
+
+fs.writeFileSync('src/sections/SeccionIndicaciones.tsx', si);
diff --git a/update_glucemias.cjs b/update_glucemias.cjs
new file mode 100644
index 0000000..c70ed81
--- /dev/null
+++ b/update_glucemias.cjs
@@ -0,0 +1,37 @@
+const fs = require('fs');
+
+let code = fs.readFileSync('src/sections/HistoriaClinica.tsx', 'utf8');
+
+const regex = /<div className="flex justify-between">\s*<div className="flex gap-2">\s*\{canEdit && \(\s*<Button variant="outline" onClick=\{.*?>\s*<Plus className="h-4 w-4 mr-2" \/>Nueva\s*<\/Button>\s*\)\}\s*<Button variant="outline" onClick=\{.*?\} disabled=\{listGlucemias.length === 0\}>\s*<TrendingUp className="h-4 w-4 mr-2" \/>Evolución\s*<\/Button>\s*<\/div>\s*<\/div>/g;
+
+const replacement = `
+      {portalNode ? createPortal(
+        <>
+          {canEdit && (
+            <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+              <Plus className="h-4 w-4 mr-2" />Nueva
+            </Button>
+          )}
+          <Button variant="outline" onClick={() => setEvolDialog(true)} disabled={listGlucemias.length === 0}>
+            <TrendingUp className="h-4 w-4 mr-2" />Evolución
+          </Button>
+        </>,
+        portalNode
+      ) : (
+        <div className="flex justify-between mb-4">
+          <div className="flex gap-2">
+            {canEdit && (
+              <Button variant="outline" onClick={() => { reset(); setDialog(true); }}>
+                <Plus className="h-4 w-4 mr-2" />Nueva
+              </Button>
+            )}
+            <Button variant="outline" onClick={() => setEvolDialog(true)} disabled={listGlucemias.length === 0}>
+              <TrendingUp className="h-4 w-4 mr-2" />Evolución
+            </Button>
+          </div>
+        </div>
+      )}
+`.trim();
+
+code = code.replace(regex, replacement);
+fs.writeFileSync('src/sections/HistoriaClinica.tsx', code);