\(\dfrac{x+10}{x-2}+\dfrac{x-18}{x+2}+\dfrac{x+2}{x^2-4}=\dfrac{\left(x+10\right)\left(x+2\right)}{\left(x-2\right)\left(x+2\right)}+\dfrac{\left(x-18\right)\left(x+2\right)}{\left(x-2\right)\left(x+2\right)}+\dfrac{x+2}{\left(x-2\right)\left(x+2\right)}=\dfrac{x^2+12x+20+x^2-16x-36+x+2}{\left(x-2\right)\left(x+2\right)}=\dfrac{2x^2-3x-14}{\left(x-2\right)\left(x+2\right)}=\dfrac{\left(2x^2+4x\right)-\left(7x+14\right)}{\left(x-2\right)\left(x+2\right)}=\dfrac{2x\left(x+2\right)-7\left(x+2\right)}{\left(x-2\right)\left(x+2\right)}=\dfrac{\left(2x-7\right)\left(x+2\right)}{\left(x-2\right)\left(x+2\right)}=\dfrac{2x-7}{x-2}\)