\(=\left(\dfrac{-\left(\sqrt{x}+2\right)}{\sqrt{x}-2}+\dfrac{\sqrt{x}-2}{\sqrt{x}+2}-\dfrac{4x}{x-4}\right)\cdot\dfrac{2\sqrt{x}-x}{\sqrt{x}-3}\)
\(=\dfrac{-x-4\sqrt{x}-4+x-4\sqrt{x}+4-4x}{\left(\sqrt{x}-2\right)\left(\sqrt{x}+2\right)}\cdot\dfrac{-\sqrt{x}\left(\sqrt{x}-2\right)}{\sqrt{x}-3}\)
\(=\dfrac{-4x-8\sqrt{x}}{\sqrt{x}+2}\cdot\dfrac{-\sqrt{x}}{\sqrt{x}-3}\)
\(=\dfrac{4x}{\sqrt{x}-3}\)
Để P>0 thì \(\sqrt{x}-3>0\)
hay x>9
Để P<0 thì \(\sqrt{x}-3< 0\)
hay 0<x<9