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\frac{5}{\left(x-9\right)\left(x-2\right)}+\frac{9x+3}{x-9}
Factor x^{2}-11x+18.
\frac{5}{\left(x-9\right)\left(x-2\right)}+\frac{\left(9x+3\right)\left(x-2\right)}{\left(x-9\right)\left(x-2\right)}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of \left(x-9\right)\left(x-2\right) and x-9 is \left(x-9\right)\left(x-2\right). Multiply \frac{9x+3}{x-9} times \frac{x-2}{x-2}.
\frac{5+\left(9x+3\right)\left(x-2\right)}{\left(x-9\right)\left(x-2\right)}
Since \frac{5}{\left(x-9\right)\left(x-2\right)} and \frac{\left(9x+3\right)\left(x-2\right)}{\left(x-9\right)\left(x-2\right)} have the same denominator, add them by adding their numerators.
\frac{5+9x^{2}-18x+3x-6}{\left(x-9\right)\left(x-2\right)}
Do the multiplications in 5+\left(9x+3\right)\left(x-2\right).
\frac{-1+9x^{2}-15x}{\left(x-9\right)\left(x-2\right)}
Combine like terms in 5+9x^{2}-18x+3x-6.
\frac{-1+9x^{2}-15x}{x^{2}-11x+18}
Expand \left(x-9\right)\left(x-2\right).
\frac{5}{\left(x-9\right)\left(x-2\right)}+\frac{9x+3}{x-9}
Factor x^{2}-11x+18.
\frac{5}{\left(x-9\right)\left(x-2\right)}+\frac{\left(9x+3\right)\left(x-2\right)}{\left(x-9\right)\left(x-2\right)}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of \left(x-9\right)\left(x-2\right) and x-9 is \left(x-9\right)\left(x-2\right). Multiply \frac{9x+3}{x-9} times \frac{x-2}{x-2}.
\frac{5+\left(9x+3\right)\left(x-2\right)}{\left(x-9\right)\left(x-2\right)}
Since \frac{5}{\left(x-9\right)\left(x-2\right)} and \frac{\left(9x+3\right)\left(x-2\right)}{\left(x-9\right)\left(x-2\right)} have the same denominator, add them by adding their numerators.
\frac{5+9x^{2}-18x+3x-6}{\left(x-9\right)\left(x-2\right)}
Do the multiplications in 5+\left(9x+3\right)\left(x-2\right).
\frac{-1+9x^{2}-15x}{\left(x-9\right)\left(x-2\right)}
Combine like terms in 5+9x^{2}-18x+3x-6.
\frac{-1+9x^{2}-15x}{x^{2}-11x+18}
Expand \left(x-9\right)\left(x-2\right).