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\frac{x^{2}+4}{x-2}+\frac{-4x}{x-2}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of x-2 and 2-x is x-2. Multiply \frac{4x}{2-x} times \frac{-1}{-1}.
\frac{x^{2}+4-4x}{x-2}
Since \frac{x^{2}+4}{x-2} and \frac{-4x}{x-2} have the same denominator, add them by adding their numerators.
\frac{\left(x-2\right)^{2}}{x-2}
Factor the expressions that are not already factored in \frac{x^{2}+4-4x}{x-2}.
x-2
Cancel out x-2 in both numerator and denominator.
\frac{x^{2}+4}{x-2}+\frac{-4x}{x-2}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of x-2 and 2-x is x-2. Multiply \frac{4x}{2-x} times \frac{-1}{-1}.
\frac{x^{2}+4-4x}{x-2}
Since \frac{x^{2}+4}{x-2} and \frac{-4x}{x-2} have the same denominator, add them by adding their numerators.
\frac{\left(x-2\right)^{2}}{x-2}
Factor the expressions that are not already factored in \frac{x^{2}+4-4x}{x-2}.
x-2
Cancel out x-2 in both numerator and denominator.