Suppose you're given the ellipse
$$ (r - H)^T Q (r - H) = 1 $$
where $r = [x, y]^T $, $Q $ is positive definite, and $H$ is the center of the ellipse, and a point $A$ lying outside the ellipse (i.e. $(A-H)^T Q (A-H) \gt 1 $). I'd like to find the equations of the two tangents to the ellipse passing through point $A$.
Is there a standard way to do this? As a numerical example, take an ellipse with semi-major axis of $3$ and semi-minor axis of $2$ and a tilt angle of $\dfrac{\pi}{4}$ from the $x$ axis, then
$$Q = \dfrac{1}{72} \begin{bmatrix} 13 && -5 \\ -5 && 13 \end{bmatrix} $$
And let the ellipse be centered at the origin, so that
$$H = \begin{bmatrix} 0 \\ 0 \end{bmatrix} $$
And point $A$ is given by
$$A = \begin{bmatrix} -10 \\ 5 \end{bmatrix} $$
What are the equations of the tangents in this case ?
What I've tried:
The equations of the tangents are given by
$$ \left( (r - H)^T Q (r - H) - 1 \right) \left((A - H)^T Q (A - H) - 1\right) = \left( (r - H)^T Q (A - H) - 1\right)^2 $$
But this method leads to a quadratic equation in $r$ that has to be factored into two linear factors each giving one equation of the tangents.
Is there a more direct way to do this ?

Incomplete answer and is too long to post as comments.
There're always two tangents (real or complex) from the pole $\vec r_1$, the chord of contacts are the polar $s_1=0$ of the pole.
If we extend the ideas to quadrics, the quadratic form will be the enveloping cone whereas the contact is a touching conic.
You can always solve the tangent pair $s_1^2=s_{11}s$ explicitly for $y$ as quadratic in $x$ or vice versa.
Alternatively but indirect, with Joachimsthal's notations, solve the contact points first: $$\vec r_2, \vec r_3 \in s_1=0 \cap s=0$$ and then express the tangent one by one, that is $s_2$ and $s_3$.
See also one example in my post here, the usage of Joachimsthal's notations here and the case of hyperbola's asymptotes here.