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\left(\frac{x^{2}+4}{x}-\frac{4x}{x}\right)\times \frac{x^{2}-4}{2x}
To add or subtract expressions, expand them to make their denominators the same. Multiply 4 times \frac{x}{x}.
\frac{x^{2}+4-4x}{x}\times \frac{x^{2}-4}{2x}
Since \frac{x^{2}+4}{x} and \frac{4x}{x} have the same denominator, subtract them by subtracting their numerators.
\frac{\left(x^{2}+4-4x\right)\left(x^{2}-4\right)}{x\times 2x}
Multiply \frac{x^{2}+4-4x}{x} times \frac{x^{2}-4}{2x} by multiplying numerator times numerator and denominator times denominator.
\frac{\left(x^{2}+4-4x\right)\left(x^{2}-4\right)}{x^{2}\times 2}
Multiply x and x to get x^{2}.
\frac{x^{4}-16-4x^{3}+16x}{x^{2}\times 2}
Use the distributive property to multiply x^{2}+4-4x by x^{2}-4 and combine like terms.
\left(\frac{x^{2}+4}{x}-\frac{4x}{x}\right)\times \frac{x^{2}-4}{2x}
To add or subtract expressions, expand them to make their denominators the same. Multiply 4 times \frac{x}{x}.
\frac{x^{2}+4-4x}{x}\times \frac{x^{2}-4}{2x}
Since \frac{x^{2}+4}{x} and \frac{4x}{x} have the same denominator, subtract them by subtracting their numerators.
\frac{\left(x^{2}+4-4x\right)\left(x^{2}-4\right)}{x\times 2x}
Multiply \frac{x^{2}+4-4x}{x} times \frac{x^{2}-4}{2x} by multiplying numerator times numerator and denominator times denominator.
\frac{\left(x^{2}+4-4x\right)\left(x^{2}-4\right)}{x^{2}\times 2}
Multiply x and x to get x^{2}.
\frac{x^{4}-16-4x^{3}+16x}{x^{2}\times 2}
Use the distributive property to multiply x^{2}+4-4x by x^{2}-4 and combine like terms.