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\frac{\left(\sqrt{5}+4\right)\left(\sqrt{2}-3\sqrt{10}\right)}{\left(\sqrt{2}+3\sqrt{10}\right)\left(\sqrt{2}-3\sqrt{10}\right)}
Rationalize the denominator of \frac{\sqrt{5}+4}{\sqrt{2}+3\sqrt{10}} by multiplying numerator and denominator by \sqrt{2}-3\sqrt{10}.
\frac{\left(\sqrt{5}+4\right)\left(\sqrt{2}-3\sqrt{10}\right)}{\left(\sqrt{2}\right)^{2}-\left(3\sqrt{10}\right)^{2}}
Consider \left(\sqrt{2}+3\sqrt{10}\right)\left(\sqrt{2}-3\sqrt{10}\right). Multiplication can be transformed into difference of squares using the rule: \left(a-b\right)\left(a+b\right)=a^{2}-b^{2}.
\frac{\left(\sqrt{5}+4\right)\left(\sqrt{2}-3\sqrt{10}\right)}{2-\left(3\sqrt{10}\right)^{2}}
The square of \sqrt{2} is 2.
\frac{\left(\sqrt{5}+4\right)\left(\sqrt{2}-3\sqrt{10}\right)}{2-3^{2}\left(\sqrt{10}\right)^{2}}
Expand \left(3\sqrt{10}\right)^{2}.
\frac{\left(\sqrt{5}+4\right)\left(\sqrt{2}-3\sqrt{10}\right)}{2-9\left(\sqrt{10}\right)^{2}}
Calculate 3 to the power of 2 and get 9.
\frac{\left(\sqrt{5}+4\right)\left(\sqrt{2}-3\sqrt{10}\right)}{2-9\times 10}
The square of \sqrt{10} is 10.
\frac{\left(\sqrt{5}+4\right)\left(\sqrt{2}-3\sqrt{10}\right)}{2-90}
Multiply 9 and 10 to get 90.
\frac{\left(\sqrt{5}+4\right)\left(\sqrt{2}-3\sqrt{10}\right)}{-88}
Subtract 90 from 2 to get -88.
\frac{\sqrt{5}\sqrt{2}-3\sqrt{5}\sqrt{10}+4\sqrt{2}-12\sqrt{10}}{-88}
Apply the distributive property by multiplying each term of \sqrt{5}+4 by each term of \sqrt{2}-3\sqrt{10}.
\frac{\sqrt{10}-3\sqrt{5}\sqrt{10}+4\sqrt{2}-12\sqrt{10}}{-88}
To multiply \sqrt{5} and \sqrt{2}, multiply the numbers under the square root.
\frac{\sqrt{10}-3\sqrt{5}\sqrt{5}\sqrt{2}+4\sqrt{2}-12\sqrt{10}}{-88}
Factor 10=5\times 2. Rewrite the square root of the product \sqrt{5\times 2} as the product of square roots \sqrt{5}\sqrt{2}.
\frac{\sqrt{10}-3\times 5\sqrt{2}+4\sqrt{2}-12\sqrt{10}}{-88}
Multiply \sqrt{5} and \sqrt{5} to get 5.
\frac{\sqrt{10}-15\sqrt{2}+4\sqrt{2}-12\sqrt{10}}{-88}
Multiply -3 and 5 to get -15.
\frac{\sqrt{10}-11\sqrt{2}-12\sqrt{10}}{-88}
Combine -15\sqrt{2} and 4\sqrt{2} to get -11\sqrt{2}.
\frac{-11\sqrt{10}-11\sqrt{2}}{-88}
Combine \sqrt{10} and -12\sqrt{10} to get -11\sqrt{10}.