Differential equation is $2y\frac{dy}{dx}+\frac{y^2}{x}=x^2$
Solving this we get $y^2=\frac{x^3}{4}+\frac{c}{x}$
And by the initial points given c = 36
Therefore, $y=\pm\sqrt{\frac{x^3}{4}+\frac{36}{x}}$
But in the answer it is given as $y=-\sqrt{\frac{x^3}{4}+\frac{36}{x}}$
Where the $\pm$ is omitted and replaced with a $-$. Is this an error in the text or is it something I am missing?
Note that your initial point is $(4,-5)$, so we should take the negative since the positive square root would instead go through the point $(4,5)$.