Most of sam’s friends entered sexual relationships how might this fact affect sam

Sam may feel a lot of peer-pressure since his friends are in sexual relationships and will talk about it in front of him.

A third wheel- jk

But

It mostly like will be that Sam will feel anxiety that most of his friends are in sexual relationships. Leading to his friends, of course, talking about them. Where Sam will soon feel peer pressure.

Ibelieve the main term is cholecystitis. acute is just describing the condition.