Jump back onto the angled green ledge. Climb up into the cave the way you came, exit on the right.
Cross the wooden bridge and drop down the block ledges.
Crawl through the dark passageway where you shot the lizard earlier.
On the other side of the crawlspace, turn right and head up the slopes to a stone staircase. (Just before the slope, the passage widens, and you can see a save/power-up crystal through the window on the left. You can't reach it from here, but you'll get it later.)
Start up the steps with weapons drawn. Another lizard appears at the top. If you hop back shooting, you should be able to kill it before it breathes poison at Lara.
Continue to the top, drop down into the alcove on the left, and press the button to open the wooden gate back at the cave entrance.
To get back to the wooden gate, return down the stairs, turn right...
...slide down the small slope, head past the window with the crystal you can't reach yet, and continue along the dark passageway.
Pull up onto the green ledge with the spikes.
Walk into the spikes to avoid taking damage. Position Lara against the climbable wall on the left. Hold Action and press Forward to grab on. Don't let go, or Lara will fall back into the spikes and die.
Climb up and right until Lara is hanging above the ledge. Then let go.
Use the next section of climbable wall the same way.
Climb up and to the right to clear the slope. The drop down in the room above.
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