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\frac{4}{x}+\frac{\left(x+10\right)x}{x}
To add or subtract expressions, expand them to make their denominators the same. Multiply x+10 times \frac{x}{x}.
\frac{4+\left(x+10\right)x}{x}
Since \frac{4}{x} and \frac{\left(x+10\right)x}{x} have the same denominator, add them by adding their numerators.
\frac{4+x^{2}+10x}{x}
Do the multiplications in 4+\left(x+10\right)x.