Follow the ledge forward toward the ladder and spikes, but before jumping across...
...look up to your left to spot another tribesman with a blowgun on a high ledge. Shoot him from below if possible.
NOTE: If Lara is poisoned by one of the tribesman's darts and you're playing the PC or Mac game, you can probably make it to the next crystal without having to use a health pack. Just keep an eye on your health bar and make sure it doesn't get too low.
Take a running jump from the end of the ledge over the spikes and grab the ladder.
Climb up and get the large medi pack.
Drop back and hang from this ledge. Then traverse to the left, past the ladder, until you can pull up again.
Turn left and follow the ledge forward to get the save/power-up crystal and small medi pack on the walkway near the dead guy.
Take a standing jump–grab from the end of the walkway to the ledge below. (There's nothing to grab, but pressing Action alters Lara's trajectory so she doesn't bang her head on the rocks.)
Drop back to hang from the ledge, then traverse left and pull up.
Turn left, walk to the edge, and take a standing jump to grab the next ledge. Pull up and follow the passageway out of the cavern.
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