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\left(x+3\right)^{2}=\left(4\sqrt{x}\right)^{2}
Square both sides of the equation.
x^{2}+6x+9=\left(4\sqrt{x}\right)^{2}
Use binomial theorem \left(a+b\right)^{2}=a^{2}+2ab+b^{2} to expand \left(x+3\right)^{2}.
x^{2}+6x+9=4^{2}\left(\sqrt{x}\right)^{2}
Expand \left(4\sqrt{x}\right)^{2}.
x^{2}+6x+9=16\left(\sqrt{x}\right)^{2}
Calculate 4 to the power of 2 and get 16.
x^{2}+6x+9=16x
Calculate \sqrt{x} to the power of 2 and get x.
x^{2}+6x+9-16x=0
Subtract 16x from both sides.
x^{2}-10x+9=0
Combine 6x and -16x to get -10x.
a+b=-10 ab=9
To solve the equation, factor x^{2}-10x+9 using formula x^{2}+\left(a+b\right)x+ab=\left(x+a\right)\left(x+b\right). To find a and b, set up a system to be solved.
-1,-9 -3,-3
Since ab is positive, a and b have the same sign. Since a+b is negative, a and b are both negative. List all such integer pairs that give product 9.
-1-9=-10 -3-3=-6
Calculate the sum for each pair.
a=-9 b=-1
The solution is the pair that gives sum -10.
\left(x-9\right)\left(x-1\right)
Rewrite factored expression \left(x+a\right)\left(x+b\right) using the obtained values.
x=9 x=1
To find equation solutions, solve x-9=0 and x-1=0.
9+3=4\sqrt{9}
Substitute 9 for x in the equation x+3=4\sqrt{x}.
12=12
Simplify. The value x=9 satisfies the equation.
1+3=4\sqrt{1}
Substitute 1 for x in the equation x+3=4\sqrt{x}.
4=4
Simplify. The value x=1 satisfies the equation.
x=9 x=1
List all solutions of x+3=4\sqrt{x}.