@media (max-width: 768px), (pointer: coarse) {
  .mobile-clinical-actions {
    margin: 14px 0 18px;
    padding: 14px;
    border: 1px solid rgba(68,38,23,.12);
    border-radius: 22px;
    background: linear-gradient(180deg,rgba(250,246,242,.98),rgba(244,238,232,.98));
    box-shadow: 0 12px 30px rgba(43,26,17,.08);
  }
  .mobile-clinical-actions__head {
    display: flex;
    align-items: baseline;
    justify-content: space-between;
    gap: 12px;
    margin-bottom: 11px;
  }
  .mobile-clinical-actions__head span {
    font-size: .72rem;
    text-transform: uppercase;
    letter-spacing: .08em;
    opacity: .66;
  }
  .mobile-clinical-actions__head strong { font-size: .98rem; }
  .mobile-clinical-actions__grid {
    display: grid;
    grid-template-columns: repeat(2,minmax(0,1fr));
    gap: 9px;
  }
  .mobile-clinical-action {
    min-height: 74px;
    display: flex;
    align-items: center;
    gap: 10px;
    text-align: left;
    border: 1px solid rgba(68,38,23,.12);
    border-radius: 16px;
    padding: 11px 12px;
    background: rgba(255,255,255,.72);
    color: #442617;
    font: inherit;
    touch-action: manipulation;
  }
  .mobile-clinical-action:active { transform: scale(.985); }
  .mobile-clinical-action__icon {
    width: 36px;
    height: 36px;
    flex: 0 0 36px;
    display: grid;
    place-items: center;
    border-radius: 12px;
    background: rgba(68,38,23,.08);
    font-size: 1.15rem;
    font-weight: 800;
  }
  .mobile-clinical-action__copy { display: grid; gap: 2px; min-width: 0; }
  .mobile-clinical-action__copy strong { font-size: .9rem; line-height: 1.15; }
  .mobile-clinical-action__copy small { font-size: .72rem; line-height: 1.15; opacity: .68; }

  .mobile-patient-new {
    position: fixed;
    left: 14px;
    right: 14px;
    bottom: calc(82px + env(safe-area-inset-bottom));
    z-index: 1080;
    min-height: 48px;
    border: 0;
    border-radius: 16px;
    padding: 12px 16px;
    background: #442617;
    color: #fff;
    box-shadow: 0 12px 34px rgba(35,21,13,.24);
    font: inherit;
    font-weight: 800;
    touch-action: manipulation;
  }

  .patient-toolbar-actions > button,
  .module-toolbar > button,
  .modal-footer button,
  .patient-tabs button,
  .clinical-shortcut,
  .anatomy-draw-toolbar button {
    min-height: 44px;
  }

  .modal input,
  .modal select,
  .modal textarea,
  .field input,
  .field select,
  .field textarea {
    font-size: 16px;
  }

  .modal-footer {
    padding-bottom: max(14px, env(safe-area-inset-bottom));
  }
}

@media (max-width: 420px) {
  .mobile-clinical-actions__grid { grid-template-columns: 1fr 1fr; }
  .mobile-clinical-action { min-height: 70px; padding: 10px; }
}