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x*2yy'+y^2 + 4xy' + 4y = 0
x*2yy'+4xy' = -(4y+y^2)
y'(2xy+4x)=-(4y+y^2)

y'=dy/dx = -y(4+y)/[2x(y+2)]

check the arithmetic

I'm a little confused what are the * for?

you use the product rule

* means times

I'm wretched at caluculus. Thank you so much