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factor(2\sqrt{x+4}+\frac{2x^{2}-2x-40}{2\sqrt{x+4}})
Combine -10x and 8x to get -2x.
factor(2\sqrt{x+4}+\frac{2\left(x-5\right)\left(x+4\right)}{2\sqrt{x+4}})
Factor the expressions that are not already factored in \frac{2x^{2}-2x-40}{2\sqrt{x+4}}.
factor(2\sqrt{x+4}+\sqrt{x+4}\left(x-5\right))
Cancel out 2\sqrt{x+4} in both numerator and denominator.
factor(2\sqrt{x+4}+\sqrt{x+4}x-5\sqrt{x+4})
Expand the expression.
factor(-3\sqrt{x+4}+\sqrt{x+4}x)
Combine 2\sqrt{x+4} and -5\sqrt{x+4} to get -3\sqrt{x+4}.
\sqrt{x+4}\left(-3+x\right)
Factor out \sqrt{x+4}.