Right triangle ABC has its right angle at C. Let M and N be the midpoints of AC and BC, respectively, with AN=19 and BM=22. What is AB?
Side Section Lengths in a Right Triangle
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Consider the figure below.

Since $M$ is the midpoint of $\overline{AC}$,
$$AM = CM = \frac{1}{2}AC$$
Since $N$ is the midpoint of $\overline{BC}$,
$$BN = CN = \frac{1}{2}BC$$
Since $\triangle ABC$ is a right triangle, the Pythagorean Theorem yields
$$AC^2 + BC^2 = AB^2$$
Since $\triangle ANC$ is a right triangle, the Pythagorean Theorem yields
$$AC^2 + CN^2 = AN^2$$
Substituting $\dfrac{1}{2}BC$ for $CN$ and $19$ for $AN$ yields
$$AC^2 + \frac{1}{4}BC^2 = 19^2$$
Multiplying both sides of the equation by $4$ yields
$$4AC^2 + BC^2 = 4 \cdot 19^2$$
Since $\triangle BMC$ is a right triangle, the Pythagorean Theorem yields
$$CM^2 + BC^2 = BM^2$$
Substituting $\dfrac{1}{2}AC$ for $CM$ and $22$ for $BM$ yields
$$\frac{1}{4}AC^2 + BC^2 = 22^2$$
Multiplying both sides of the equation by $4$ yields
$$AC^2 + 4BC^2 = 4 \cdot 22^2$$
This gives us the system of equations
\begin{alignat*}{5} 4AC^2 & + & BC^2 & = & 4 \cdot 19^2\\ AC^2 & + & 4BC^2 & = & 4 \cdot 22^2 \end{alignat*}
Summing yields
\begin{align*} 5AC^2 + 5BC^2 & = 4(19^2 + 22^2)\\ 5(AC^2 + BC^2) & = 4(361 + 484)\\ 5AB^2 & = 4(845)\\ AB^2 & = 4(169)\\ AB^2 & = 2^2 \cdot 13^2\\ AB & = 2 \cdot 13\\ AB & = 26 \end{align*}
we have $\frac{b^2}{4}+a^2=22^2$
$b^2+\frac{a^2}{4}=19^2$ summing up we obatain $c^2+\frac{c^2}{4}=19^2+22^2$ the rest is easy