In 2004, Armstrong finished first, 6 minutes 19 seconds ahead of German Andreas Klöden . Ullrich was fourth, a further 2 minutes 31 seconds behind. Armstrong won a personal-best five individual stages, plus the team time trial. He became the first biker since Gino Bartali in 1948 to win three consecutive mountain stages; 15, 16, and 17. The individual time trial on stage 16 up Alpe d'Huez was won in style by Armstrong as he passed Ivan Basso on the way despite having set out two minutes after the Italian. He won sprint finishes from Basso in stages 13 and 15 and made up a significant gap in the last 250 m to nip Klöden at the line in stage 17. He won the final individual time trial, stage 19, to complete his personal record of stage wins. 
Weider had enjoyed some success as a bodybuilder but far less as a weightlifter, and vehemently disagreed with the AAU rules that Hoffman had helped draft. Requiring that a bodybuilder shoulder-press 200 pounds, for instance—something that Weider struggled and, at times, failed to do—made little sense in the context of what was essentially an aesthetic contest. Moreover, Weider argued that Hoffman was unfairly overlooking African American athletes with impressive physiques, citing Melvin Wells’s failure to claim the Mr. America crown on several prior occasions. During the late 1950s and early 1960s, Weider would attempt to remedy these oversights by using his publications to promote the careers of black bodybuilders such as Rick Wayne, Harold Poole, and Chris Dickerson. But for Weider, racial equality came second to aesthetics: He was willing to consider anyone as a possible champion, so long as they had the look he prized.
Diagnosing acute pancreatitis can be difficult because the signs and symptoms of pancreatitis are similar to other medical conditions. The diagnosis is usually based upon a medical history, physical examination, and the results of diagnostic tests. Two of the following three are required to make a diagnosis: (1) typical abdominal pain; (2) threefold or more elevation of pancreatic enzyme values in the blood; and (3) inflammation of the gland on computed tomography (CT) scan or magnetic resonance imaging (MRI) scan. The number and type of tests is tailored to the severity of acute pancreatitis and the most likely underlying causes. (See "Clinical manifestations and diagnosis of acute pancreatitis" .)