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