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-\frac{x}{2}-\frac{4}{2x}
Cancel out x in both numerator and denominator.
-\frac{xx}{2x}-\frac{4}{2x}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of 2 and 2x is 2x. Multiply -\frac{x}{2} times \frac{x}{x}.
\frac{-xx-4}{2x}
Since -\frac{xx}{2x} and \frac{4}{2x} have the same denominator, subtract them by subtracting their numerators.
\frac{-x^{2}-4}{2x}
Do the multiplications in -xx-4.