=\(\dfrac{\left(x-4\right)-5-\sqrt{x+3}}{\left(\sqrt{x+3}\right)\left(\sqrt{x}-2\right)}=\dfrac{x-9-\sqrt{x+3}}{\left(\sqrt{x+3}\right)\left(\sqrt{x}-2\right)}\)
=\(\dfrac{\sqrt{x-3}\sqrt{x+3}-\sqrt{x+3}}{\left(\sqrt{x+3}\right)\left(\sqrt{x}-2\right)}=\dfrac{\left(\sqrt{x-3}+1\right)\sqrt{x+3}}{\left(\sqrt{x+3}\right)\left(\sqrt{x}-2\right)}\)
=\(\dfrac{\sqrt{x-3}+1}{\sqrt{x}-2}\)