To add and/or subtract fractions, the denominators must be the same.
Find the common denominator: \(\displaystyle \:2x(x\,+\,3)\)
Then "convert" the fractions so they each have the common denominator.
Multiply the first fraction by \(\displaystyle \frac{2x}{2x}:\;\;\;\L\frac{2x}{2x}\,\cdot\,\frac{3}{x\,+\,3} \;=\;\frac{6x}{2x(x\,+\,3)}\)
Multiply the second fraction by \(\displaystyle \frac{2(x+3)}{2(x+3)}:\;\;\;\L\frac{2(x+3)}{2(x+3)}\,\cdot\,\frac{2}{x} \;=\;\frac{4(x\,+\,3)}{2x(x\,+\,3)}\)
Multiply the third fraction by \(\displaystyle \frac{x(x+3)}{x(x+3)}:\;\;\;\L\frac{x(x+3)}{x(x+3)}\,\cdot\,\frac{5}{2}\;=\;\frac{5x(x\,+\,3)}{2x(x\,+\,3)}\)
The problem becomes: \(\displaystyle \L\:\frac{6x}{2x(x\,+\,3)}\,+\,\frac{4(x+3)}{2x(x\,+\,3)} \,-\,\frac{5x(x\,+\,3)}{2x(x\,+\,3)}\)
Then we have: \(\displaystyle \L\:\frac{6x\,+\,4(x\,+\,3)\,-\,5x(x\,+\,3)}{2x(x\,+\,3)} \:=\:\frac{6x\,+\,4x\,+\,12\,-\,5x^2\,-\,15x}{2x(x\,+\,3)}\)
And finally: \(\displaystyle \L\:\frac{12\,-\,5x\,-\,5x^2}{2x(x\,+\,3)}\)
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