Q = \(\frac{\left(x+2\right)^2}{x}\cdot\left(1-\frac{x^2}{x+2}\right)-\frac{x^2+6x+4}{x}\)
Q = \(\frac{\left(x+2\right)^2}{x}\cdot\frac{x+2-x^2}{x+2}-\frac{x^2+6x+4}{x}\)
Q = \(\frac{\left(x+2\right)\left(x+2-x^2\right)}{x}-\frac{x^2+6x+4}{x}\)
Q = \(\frac{x^2+2x-x^3+2x+4-2x^2-x^2-6x-4}{x}\)
Q = \(\frac{-x^3-2x^2-2x}{x}\)
Q = \(\frac{x\left(-x^2-2x-2\right)}{x}=-x^2-2x-2\)