I find that when dealing with sensitive topics, it's always best to make it seem like their idea to talk about it. Ask questions that lead to them either opening up to you about it or coming to the conclusion on their own. Then follow up by supporting them or agreeing with them.
This isn't easy, even if you have children. I would have asked a seemingly innocent question. "Has he hurt his leg? Did you notice he was limping." That way you are suggesting a minor injury which isn't at all awkward or out of place to bring up. All in all, it was her own responsibility to provide the attention he needed, so you shouldn't feel guilty. She may have known and just never brought it up to you.
As for the rude child, I never allow a child to be rude to me. I have a daughter, and I expect her to be corrected verbally by an adult if she is ever rude. Don't go bat shit crazy on him, just point out that what he said was wrong. If the mother has a problem with that, then she needs wake up and take a good look around.
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"I give myself very good advice,
But I very seldom follow it,
Will I ever learn to do the things I should?"
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