Use implicit differentiation where LaTeX:  \displaystyle y is a function of LaTeX:  \displaystyle x to find the derivative of LaTeX:  \displaystyle - 3 \sqrt{5} x^{3} \sqrt{y} + 5 e^{y^{2}} \cos{\left(x^{2} \right)}=23

Taking the derivative of both sides using implicit differentiation gives: LaTeX:   - \frac{3 \sqrt{5} x^{3} y'}{2 \sqrt{y}} - 9 \sqrt{5} x^{2} \sqrt{y} - 10 x e^{y^{2}} \sin{\left(x^{2} \right)} + 10 y y' e^{y^{2}} \cos{\left(x^{2} \right)} = 0  Solving for LaTeX:  \displaystyle y' gives LaTeX:  \displaystyle y' = - \frac{2 x \left(9 \sqrt{5} x y + 10 \sqrt{y} e^{y^{2}} \sin{\left(x^{2} \right)}\right)}{3 \sqrt{5} x^{3} - 20 y^{\frac{3}{2}} e^{y^{2}} \cos{\left(x^{2} \right)}}