There eventually is enlargement of the lymph nodes, liver, and spleen. Common to all leukemias are the tendency to bleed and the resultant anemia and increased susceptibility to infection. The diagnosis of leukemia requires confirmation of leukemic cells in the bone marrow by bone marrow biopsy and aspiration.
River Phoenix's autopsy showed deadly levels of cocaine and morphine (heroin shows up as morphine, as it's metabolized by the body), Valium, marijuana and ephedrine. Ephedrine is the main ingredient found in crystal meth. Official cause of death was Acute multiple drug ingestion. River Phoenix was just 23 years old.
On July 5, 1994, nine members of a hotshot crew based in Prineville, Oregon, died after being overtaken by the fast-moving Storm King fire west of Glenwood Springs, Colorado. Five other firefighters, three smokejumpers and two helitack firefighters, also died in the conflagration. On June 30, 2013, the Prescott Fire Department's hotshot crew perished in the Yarnell Hill Fire near Yarnell, Arizona.