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