\(=\dfrac{\sqrt{x}+2\sqrt{xy}+\sqrt{y}-4\sqrt{xy}}{\sqrt{x}-\sqrt{y}}-\dfrac{\sqrt{xy}\left(\sqrt{x}+\sqrt{y}\right)}{\sqrt{xy}}\\ =\dfrac{\left(\sqrt{x}-\sqrt{y}\right)^2}{\sqrt{x}-\sqrt{y}}-\sqrt{x}-\sqrt{y}\\ =\sqrt{x}-\sqrt{y}-\sqrt{x}-\sqrt{y}=-2\sqrt{y}\)