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\frac{2\left(x+4\right)}{x\left(x+4\right)}+\frac{4x}{x\left(x+4\right)}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of x and x+4 is x\left(x+4\right). Multiply \frac{2}{x} times \frac{x+4}{x+4}. Multiply \frac{4}{x+4} times \frac{x}{x}.
\frac{2\left(x+4\right)+4x}{x\left(x+4\right)}
Since \frac{2\left(x+4\right)}{x\left(x+4\right)} and \frac{4x}{x\left(x+4\right)} have the same denominator, add them by adding their numerators.
\frac{2x+8+4x}{x\left(x+4\right)}
Do the multiplications in 2\left(x+4\right)+4x.
\frac{6x+8}{x\left(x+4\right)}
Combine like terms in 2x+8+4x.
\frac{6x+8}{x^{2}+4x}
Expand x\left(x+4\right).