19 y/o WF presents with c/o months of intermittent episodes of postprandial abdominal distention, pain and severe n/v. She states that she has been to the ER several times for this before and “always gets an NG tube,” resolving the episodes. On exam, the pt has moderate firm upper abdominal distension and tenderness. Your initial abdominal ultrasound reveals a very large, full stomach. After an NG tube is placed you obtain the following clip.